Provider Demographics
NPI:1093783623
Name:LAKNER, JEAN (LPC MH QMHP LMFT NCC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:LAKNER
Suffix:
Gender:F
Credentials:LPC MH QMHP LMFT NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 E FRANKLIN
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501
Mailing Address - Country:US
Mailing Address - Phone:605-224-7247
Mailing Address - Fax:605-224-5660
Practice Address - Street 1:2520 E FRANKLIN
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501
Practice Address - Country:US
Practice Address - Phone:605-224-7247
Practice Address - Fax:605-224-5660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPCMH2013101YP2500X
SDLMFT1078101YP2500X
SDNCC24558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6575070Medicaid
SD22181OtherSIOUX VALLEY
SD4998864OtherBCBS
SDNP4273OtherDAKOTACARE