Organization · NPI-2

Abourezk Counseling Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Rapid City, SD

NPI number1649759853
StatusActive
Last updated in NPPESJan 17, 2019

Details

NPI
1649759853
Entity type
Organization (NPI-2)
Legal business name
Abourezk Counseling Services
Organization subpart
No
Enumeration date
Aug 8, 2018
Last updated
Jan 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)LPC-MH2276SDYes

Practice location

2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452

Phone 605-545-4944 · Fax 605-791-0122

Mailing address

2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452

Phone 605-545-4944 · Fax 605-791-0122

Authorized official

Ilyani Lena Abourezk
Owner
6058632881

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