CHAD MICHEAL MAXON

RAPID CITY, SD
NPI1609655729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  17091759)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
CHAD MICHEAL MAXON BS, CAC
2165 PROMISE RD
RAPID CITY, SD 57701-8981
Phone number: 605-718-1095
Mailing Address
CHAD MICHEAL MAXON BS, CAC
2165 PROMISE RD
RAPID CITY, SD 57701-8981
Phone number: 605-718-1095
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