Healthcare Provider Details

I. General information

NPI: 1104742006
Provider Name (Legal Business Name): NATASHA VALNES LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 8TH AVE NE STE 2201
ABERDEEN SD
57401-3232
US

IV. Provider business mailing address

PO BOX 131
MELLETTE SD
57461-0131
US

V. Phone/Fax

Practice location:
  • Phone: 605-892-8857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20041845
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: