Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YP2500X | Counselor | Professional | SD LPC 527 | SOUTH DAKOTA | No |
| 2 | 103TC1900X | Psychologist | Counseling | SD MFT 1013 | SOUTH DAKOTA | No |
| 3 | 106H00000X | Marriage & Family Therapist | | SD MFT 1013 | SOUTH DAKOTA | No |
| 4 | 106H00000X | Marriage & Family Therapist | | MN MFT 0758 | MINNESOTA | Yes |