CAROL BUTZMAN, LPCMH CCDCIII QMHP, Professional RAPID CITY, SD

Contact Information

CAROL BUTZMAN, LPCMH CCDCIII QMHP

4940 5TH STREET
SUITE 1B
RAPID CITY, SD 57701-6026

Phone: 605-418-4004
Fax: 605-418-4002
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for CAROL BUTZMAN · (Female)

NPI #	`1922076553`
Status	Active
Credentials	LPCMH CCDCIII QMHP
Entity	Individual
Enumeration date	03/09/2006
Last updated	07/13/2007 - About 19 years ago
Sole proprietor ¹	No
Identifiers	SD License # CCDCIII SD License # ICADC14768 SD License # LPCMH2009 SD Medicaid 6575060 SD Other 23145 AVERA SD Other 4998865 BCBS SD Other NP4273 DAKOTACARE SD Other 23145 SIOUX VALLEY
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CAROL BUTZMAN, LPCMH CCDCIII QMHP – NPI #1922076553Professional

Contact Information

Specialty

Professional

Addiction (Substance Use Disorder)

NPI Profile & details for CAROL BUTZMAN · (Female)

Reviews for CAROL BUTZMAN

CAROL BUTZMAN, LPCMH CCDCIII QMHP – NPI #1922076553
Professional