person
Larry S Prairie Chicken
Addiction (Substance Use Disorder) Counselor in Pierre, South Dakota
NPI 1588370258

Larry S Prairie Chicken is an Addiction (Substance Use Disorder) Counselor based in Pierre, SD and is specialized in Addiction (Substance Use Disorder). Larry S Prairie Chicken practices in Pierre, SD. The NPI Number for Larry S Prairie Chicken is 1588370258 and holds a License No. 9607858 (South Dakota).

The current practice location address for Larry S Prairie Chicken is 1714 Abbey Rd, Pierre, SD and can be reached out via phone at 605-224-8841.

Location: 1714 Abbey Rd, Pierre, SD, 57501-7805
person
Provider Profile Details
NPI Number
1588370258
Provider Name
Larry S Prairie Chicken
Credential
Provider Entity Type
Individual
Gender
Male
Address
1714 Abbey Rd, Pierre, SD, 57501-7805
Phone Number
605-224-8841
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1714 Abbey Rd
City
State
Zip
57501-7805
Phone Number
605-224-8841
Fax Number
person
Provider Business Mailing Address Details
Address
1714 Abbey Rd
City
State
Zip
57501-7805
Phone Number
605-224-8841
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9607858 (South Dakota)
Definition
Definition to come...
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