| Abourezk Counseling Services | |
|
2218 Jackson Blvd Ste 13 Rapid City SD 57702-3452 | |
| (605) 545-4944 | |
| (605) 791-0122 |
| Full Name | Abourezk Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2218 Jackson Blvd Ste 13, Rapid City, South Dakota |
| Authorized Official Name and Position | Ilyani Lena Abourezk (OWNER) |
| Authorized Official Contact | 6058632881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abourezk Counseling Services 2218 Jackson Blvd Ste 13 Rapid City SD 57702-3452 Ph: (605) 545-4944 | Abourezk Counseling Services 2218 Jackson Blvd Ste 13 Rapid City SD 57702-3452 Ph: (605) 545-4944 |
| NPI Number | 1649759853 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649759853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC-MH2276 (South Dakota) | Primary |
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