Provider Demographics
NPI:1740526870
Name:MAIN, FRANK O JR (EDD, LMFT)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:O
Last Name:MAIN
Suffix:JR
Gender:M
Credentials:EDD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 VALLEY VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069
Mailing Address - Country:US
Mailing Address - Phone:605-624-2508
Mailing Address - Fax:
Practice Address - Street 1:4300 LOUISE AVENUE #201
Practice Address - Street 2:STRONGHOLD COUNSELING SERVICES
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106
Practice Address - Country:US
Practice Address - Phone:605-334-7713
Practice Address - Fax:605-334-5348
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD.LMFT#1051106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist