Galen Aldean Grove, CCDC-IIIR

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Huron, SD

NPI 1962414870 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962414870
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone
(605) 352-8596
Fax
(605) 352-7001
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Service Addiction (Substance Use Disorder) Past
since Apr 2, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

357 Kansas Ave SE
Huron, SD 57350-2517

Mailing address

771 10TH St SW
Huron, SD 57350-3061
Phone (605) 352-7405

Other providers in Huron, SD

All providers in Huron, SD · Addiction (Substance Use Disorder) Counselor in South Dakota

Sources for this page

Verify at the official NPI Registry.