Individual
ELIZABETH OSTOLOZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702
(605) 440-2287
(605) 791-2086
Mailing address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702-2437
(605) 440-2287
(605) 791-2086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12682
NY
104100000X
Social Worker
079673
NY
1041C0700X
Clinical Social Worker
Primary
3634
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013208
—
SD
Enumeration date
02/14/2011
Last updated
01/24/2019
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