Individual
RISA LORENA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1422 W LAKE ST STE 314, MINNEAPOLIS, MN 55408-2616
(612) 445-0225
(612) 445-0112
Mailing address
720 N 4TH ST UNIT 206, MINNEAPOLIS, MN 55401-1945
(847) 962-1570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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