Organization
UPPER SIOUX COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WHITEHAWK LCDC (CD COUNSELOR)
(320) 564-6356
Entity
Organization
Contact information
Practice address
5744 HWY 67, GRANITE FALLS, MN 56241
(320) 564-2360
(320) 564-2550
Mailing address
PO BOX 147, GRANITE FALLS, MN 56241-0147
(320) 564-2360
(320) 564-2550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301298
MN
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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