Individual
MICHELLE IRENE MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LPC-MH
Contact information
Practice address
703 4TH ST, RAPID CITY, SD 57701-3601
(605) 580-1092
Mailing address
703 4TH ST, RAPID CITY, SD 57701-3601
(605) 580-1092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH7226
SD
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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