Individual
NICOLE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC, LPC-MH
Contact information
Practice address
3922 S WESTERN AVE, SIOUX FALLS, SD 57105-6513
(605) 610-5567
(307) 688-5015
Mailing address
3922 S WESTERN AVE, SIOUX FALLS, SD 57105-6513
(605) 610-5567
(307) 688-5015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC02548
MN
101Y00000X
Counselor
PPC-660
WY
101YP2500X
Professional Counselor
Primary
CC02548
MN
Other
Enumeration date
12/04/2013
Last updated
06/26/2025
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