Provider Demographics
NPI:1679601579
Name:OPOIEN TWEDT, JANET CAROLINE (LLPC-MH)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:CAROLINE
Last Name:OPOIEN TWEDT
Suffix:
Gender:F
Credentials:LLPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E. HOLLY BLVD.
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005
Mailing Address - Country:US
Mailing Address - Phone:605-582-4722
Mailing Address - Fax:605-582-3197
Practice Address - Street 1:3 CANYON VIEW CIR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747-1700
Practice Address - Country:US
Practice Address - Phone:605-745-6222
Practice Address - Fax:605-745-4930
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSW2082104100000X
SDLPC-MH2177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker