Provider Demographics
NPI:1285041327
Name:THORS, INGIBJORG
Entity Type:Individual
Prefix:MRS
First Name:INGIBJORG
Middle Name:
Last Name:THORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6357 E MINERAL DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3045
Mailing Address - Country:US
Mailing Address - Phone:720-625-0654
Mailing Address - Fax:
Practice Address - Street 1:6357 E MINERAL DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3045
Practice Address - Country:US
Practice Address - Phone:720-625-0654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health