Individual
CHAD NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
705 E 41ST ST, SIOUX FALLS, SD 57105-6053
(605) 357-0138
Mailing address
705 E 41ST ST, SIOUX FALLS, SD 57105-6053
(605) 357-0138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07031303
SD
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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