Larry S Prairie Chicken
NPI #1588370258 in Pierre, South Dakota
Provider Information
- NPI Number
- 1588370258
- Entity Type
- Individual
- Name
- Larry S Prairie Chicken
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 26, 2023
- Last Updated
- Jan 26, 2023
Practice Location
- Address
- 1714 ABBEY RD
- City
- Pierre
- State
- South Dakota
- ZIP Code
- 57501-7805
- Phone
- (605) 224-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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