Individual provider · Type 1 NPI

Samuel Prairie Chicken

Addiction (Substance Use Disorder) Counselor · Rapid City, SD

NPI number 1467368407 Active

Practice location

405 E Fairlane Dr
Rapid City, SD 57701-7207

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8919 (SD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467368407

Samuel Prairie Chicken's National Provider Identifier is 1467368407, issued on Aug 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rapid City, SD. The record was last updated on Aug 20, 2026.