Organization
ABOUREZK COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYANI LENA ABOUREZK LPC-MH, QMHP, NCCCAC (OWNER)
(605) 863-2881
Entity
Organization
Contact information
Practice address
2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
(605) 545-4944
(605) 791-0122
Mailing address
2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
(605) 545-4944
(605) 791-0122
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-MH2276
SD
Other
Enumeration date
08/08/2018
Last updated
01/17/2019
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