Individual
GRANT MICHAEL SASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC-MH
Contact information
Practice address
529 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3798
(605) 348-6086
Mailing address
1000 MAIN ST, CHADRON, NE 69337-2667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1435
NE
101YP2500X
Professional Counselor
LIMHP2609
NE
101YP2500X
Professional Counselor
Primary
LPC-MH30785
SD
101YP2500X
Professional Counselor
LPC2644
NE
101YP2500X
Professional Counselor
PCOP881
AK
Other
Enumeration date
12/18/2018
Last updated
08/28/2024
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