Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HUMAN SERVICE AGENCY
Active OrganizationAddiction (Substance Use Disorder) Counselor · WATERTOWN, SD
Registration Details
- NPI Number
- 1720074644
- Provider Type
- Organization
- NPI Issued
- Sep 26, 2005 (20.588602585162 yrs)
- Last Updated
- Aug 6, 2024
- Licenses
-
704 (SD)006 (SD)006 (SD)704 (SD)006 (SD)
Practice Information
- Address
-
123 19TH ST NEWATERTOWN, SD, 572012823Browse SD providers · Browse ZIP 57201
- Phone
- 6058860123
- Fax
- 6058865447
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Counselor
- Additional Specialty
- Psychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.