| Samuel Prairie Chicken, | |
|
405 E Fairlane Dr, Rapid City, SD 57701-7207 | |
| (605) 307-3883 | |
| Not Available |
| Full Name | Samuel Prairie Chicken |
|---|---|
| Gender | |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 405 E Fairlane Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467368407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8919 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Prairie Chicken, 405 E Fairlane Dr, Rapid City, SD 57701-7207 Ph: (605) 600-2019 | Samuel Prairie Chicken, 405 E Fairlane Dr, Rapid City, SD 57701-7207 Ph: (605) 307-3883 |
Mary Schweitzer, MS Counselor Medicare: Medicare Enrolled Practice Location: 528 Kansas City St Ste 5, Rapid City, SD 57701 Phone: 605-299-9100 |
Amanda F Levy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 |
Mr. John Rj Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2165 Promise Rd, Rapid City, SD 57701 Phone: 605-891-4293 |
Julie Ann Thompson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Elk St, Rapid City, SD 57701 Phone: 605-343-7262 |
Leesa House, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Elk St, Rapid City, SD 57701 Phone: 605-343-7262 |
Cristi Habermann, MA-LPC LAX Counselor Medicare: Not Enrolled in Medicare Practice Location: 2650 Jackson Blvd Ste 19-a, Rapid City, SD 57702 Phone: 605-490-4229 Fax: 605-341-2072 |
Darlene Nichols-ecoffey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 Kansas City St, Suite 100, Rapid City, SD 57701 Phone: 605-348-6086 Fax: 605-348-1050 |