Butzman, Carol

Butzman, Carol is an individual health care provider with primary practice located at 4940 5Th Street Suite 1B, Rapid City SD 57701-6026. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Butzman, Carol can be contacted via phone (605) 418-4004.

Contact Information

Primary practice address
4940 5Th Street Suite 1B Rapid City SD 57701-6026
Phone: (605) 418-4004
Fax: (605) 418-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCDCIII South Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICADC14768 South Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCMH2009 South Dakota

Profile Details

NPI number 1922076553
LBN Legal business name Butzman, Carol
Credentials LPCMH CCDCIII QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922076553 NPPES
South Dakota MEDICAID 6575060
South Dakota Other 23145
South Dakota Other NP4273
South Dakota Other 23145
South Dakota Other 4998865

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