Upper Sioux Community

NPI #1962549022 in Granite Falls, Minnesota

Provider Information

NPI Number: 1962549022
Entity Type: Organization
Organization Name: Upper Sioux Community
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5744 HWY 67
City: Granite Falls
State: Minnesota
ZIP Code: 56241
Phone: (320) 564-2360

Authorized Official

Name: JOE WHITEHAWK, LCDC
Title: CD COUNSELOR
Phone: (320) 564-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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