Organization
ROTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA M ROTH LPC-MH (MENTAL HEALTH COUNSELOR)
(605) 430-7149
Entity
Organization
Contact information
Practice address
2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
(605) 430-7149
(605) 791-0122
Mailing address
3304 COTTONWOOD ST, RAPID CITY, SD 57702-3428
(605) 430-7149
(605) 791-0122
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC-MH2150
SD
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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