Organization · Type 2 NPI
Human Service Agency
Addiction (Substance Use Disorder) Counselor · Watertown, SD
NPI number
1720074644
Active
Practice location
123 19th St NE
Watertown, SD 57201-2823
Fax (605) 886-5447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 006 (SD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 704 (SD) |
| Psychologist | 103T00000X | 006 (SD) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 704 (SD) |
| Psychiatry Physician | 2084P0800X | 006 (SD) |
| Addiction Psychiatry Physician | 2084P0802X | 704 (SD) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 006 (SD) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 704 (SD) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 006 (SD) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 704 (SD) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 006 (SD) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 704 (SD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720074644
Human Service Agency's National Provider Identifier is 1720074644, issued on Sep 26, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Watertown, SD. The record was last updated on Aug 6, 2024.