Individual
TONYA L LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 721-2916
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19031815
SD
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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