Provider Demographics
NPI:1245628700
Name:THORSON, DEVIN LYNN (MS, LPCC, LADC)
Entity type:Individual
Prefix:MS
First Name:DEVIN
Middle Name:LYNN
Last Name:THORSON
Suffix:
Gender:F
Credentials:MS, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-1829
Mailing Address - Country:US
Mailing Address - Phone:507-449-6105
Mailing Address - Fax:507-449-6106
Practice Address - Street 1:118 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156-1829
Practice Address - Country:US
Practice Address - Phone:507-449-6105
Practice Address - Fax:507-449-6106
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303848101YA0400X
MN921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)