Doctor Name: | MS. CHRISTINE LYNNE SPOTTED ELK |
NPI Number: | 1043595671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC7114 |
Business Practice Address: | 500 N 5th St Hot Springs, SD - 577471480 |
Business Phone Number: | 6057452000 |
Business Fax Number: | |
Mailing Address: | 500 N 5th St, HOT SPRINGS |
State: | SD |
Postal Code: | 577471480 |
Phone Number: | 6057452000 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2011 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC7114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |