Doctor Name: | ROBERT J STOLTENBURG |
NPI Number: | 1740669258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, ACT |
License Number: | |
Business Practice Address: | 1520 Haines Ave Suite 6 Rapid City, SD - 57701 |
Business Phone Number: | 6057167841 |
Business Fax Number: | 6057180404 |
Mailing Address: | 1520 N. Haines Ave, Suite 6 RAPID CITY |
State: | SD |
Postal Code: | 57701 |
Phone Number: | 6057167841 |
Fax Number: | 6057180404 |
NPI Enumeration Date: | 05/29/2015 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |