Individual
CAROL BUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH CCDCIII QMHP
Contact information
Practice address
4940 5TH STREET, SUITE 1B, RAPID CITY, SD 57701-6026
(605) 418-4004
(605) 418-4002
Mailing address
4940 5TH STREET, SUITE 1B, RAPID CITY, SD 57701-6026
(605) 418-4004
(605) 418-4002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCDCIII
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC14768
SD
101YP2500X
Professional Counselor
Primary
LPCMH2009
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23145
SIOUX VALLEY
SD
01
—
4998865
BCBS
SD
05
—
6575060
—
SD
01
—
NP4273
DAKOTACARE
SD
Enumeration date
03/09/2006
Last updated
07/13/2007
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