Basic Information
| Provider Information | |||||||||
| NPI: | 1538886197 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AASEN | ||||||||
| FirstName: | ABBEY | ||||||||
| MiddleName: | LEIGH | ||||||||
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| Credential: | LAC, CSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 505 S GRANGE AVE | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571044128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6059299530 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1600 W 22ND ST | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053121000 | ||||||||
| FaxNumber: | 6053121001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2022 | ||||||||
| LastUpdateDate: | 10/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 14091665 | SD | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 104100000X | 6215 | SD | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.