Provider Demographics
NPI:1831599919
Name:RALL, CHRISTINE (LPCMH, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:RALL
Suffix:
Gender:F
Credentials:LPCMH, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 S DAKOTA ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4615
Mailing Address - Country:US
Mailing Address - Phone:605-846-0464
Mailing Address - Fax:605-226-8111
Practice Address - Street 1:416 S DAKOTA ST STE 1
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4615
Practice Address - Country:US
Practice Address - Phone:605-846-0464
Practice Address - Fax:605-226-8111
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7412101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional