Individual
JENNIFER MAYFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH
Contact information
Practice address
222 SANDRA LN, RAPID CITY, SD 57701-6324
(605) 593-7841
Mailing address
222 SANDRA LN, RAPID CITY, SD 57701-6324
(605) 593-7841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30832
SD
Other
Enumeration date
05/18/2023
Last updated
04/30/2025
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