| Northern State University | |
|
1200 S Jay St Aberdeen SD 57401-7155 | |
| (605) 626-2566 | |
| Not Available |
| Full Name | Northern State University |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1200 S Jay St, Aberdeen, South Dakota |
| Authorized Official Name and Position | Don Erlenbusch (V.P OF FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 6056262566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern State University 1200 S Jay St Aberdeen SD 57401-7155 Ph: (605) 626-2566 | Northern State University 1200 S Jay St Aberdeen SD 57401-7155 Ph: (605) 626-2566 |
| NPI Number | 1053627984 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053627984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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