Individual
TERRY IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-SUPERVISEE
Contact information
Practice address
3618 CANYON LAKE DR STE 107, RAPID CITY, SD 57702-3129
(605) 939-6700
Mailing address
105 GIANTS DR, RAPID CITY, SD 57701-8737
(605) 939-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20974
SD
Other
Enumeration date
06/04/2020
Last updated
08/04/2025
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