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Organization

NORTHERN STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DON ERLENBUSCH (V.P OF FINANCE & ADMINISTRATION)
(605) 626-2566
Entity
Organization

Contact information

Practice address
1200 S JAY ST, ABERDEEN, SD 57401-7155
(605) 626-2566
Mailing address
1200 S JAY ST, ABERDEEN, SD 57401-7155
(605) 626-2566

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/30/2010
Last updated
08/30/2010
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