Provider Demographics
NPI:1689211237
Name:MCCONNACHIE, TORINA (LPCC)
Entity Type:Individual
Prefix:
First Name:TORINA
Middle Name:
Last Name:MCCONNACHIE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 STATE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0623
Mailing Address - Country:US
Mailing Address - Phone:701-214-5530
Mailing Address - Fax:701-712-5587
Practice Address - Street 1:4205 STATE ST STE 5
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0623
Practice Address - Country:US
Practice Address - Phone:701-214-5530
Practice Address - Fax:701-712-5587
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1043-12-1-19A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional