| Christie L Rall Sole Mbr | |
|
416 S Dakota St Ste 1 Aberdeen SD 57401-4615 | |
| (605) 846-0464 | |
| Not Available |
| Full Name | Christie L Rall Sole Mbr |
|---|---|
| Speciality | Counselor |
| Location | 416 S Dakota St Ste 1, Aberdeen, South Dakota |
| Authorized Official Name and Position | Christie L Rall (COUNSELOR) |
| Authorized Official Contact | 6058460464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christie L Rall Sole Mbr 416 S Dakota St Ste 1 Aberdeen SD 57401-4615 Ph: (605) 846-0464 | Christie L Rall Sole Mbr 416 S Dakota St Ste 1 Aberdeen SD 57401-4615 Ph: (605) 846-0464 |
| NPI Number | 1699382002 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 0941646632 |
|---|---|
| Medicare Enrollment ID | O20240318000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699382002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christine Louise Rall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831599919 PECOS PAC ID: 1850737545 Enrollment ID: I20240321004064 |
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