Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 84735 | SD |
NPI | 1023777612 |
---|---|
Provider Name | Victor Vincent Bien |
First Address | Rapid City, SD 57701-7351 |
Second Address | Rapid City, SD 57701-3083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2021 |
Last Update Date | 11/12/2021 |