Individual
MS. ELIZABETH THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH LMFT
Contact information
Practice address
1301 WEST OMAHA ST, SUITE 220, RAPID CITY, SD 57701
(605) 716-9944
(605) 718-0413
Mailing address
1301 WEST OMAHA ST, SUITE 220, RAPID CITY, SD 57701
(605) 716-9944
(605) 718-0413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-MH2097
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2097
SD
101YP2500X
Professional Counselor
LPC-MH2097
SD
106H00000X
Marriage & Family Therapist
LMFT1072
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575740
—
SD
Enumeration date
06/08/2006
Last updated
07/12/2021
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