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Nicole Roth, CAPPPC
Counselor in Gillette, Wyoming
NPI 1073944849

Nicole Roth is a Counselor based in Gillette, WY. Nicole Roth practices in Gillette, WY and has the professional credentials of CAPPPC. The NPI Number for Nicole Roth is 1073944849 and holds a License No. PPC-660 (Wyoming).

The current practice location address for Nicole Roth is 501 S Burma Ave, Gillette, WY and can be reached out via phone at 307-688-5000 and via fax at 307-688-5015. You can also correspond with Nicole Roth through the mailing address at 501 S BURMA AVE, GILLETTE, WY - 82716-3426 (mailing address contact number: 307-688-5000).

Location: 501 S Burma Ave, Gillette, WY, 82716-3426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073944849
Provider Name
Nicole Roth
Credential
CAPPPC
Provider Entity Type
Individual
Gender
Female
Address
501 S Burma Ave, Gillette, WY, 82716-3426
Phone Number
307-688-5000
Fax Number
307-688-5015
Provider Enumeration Date
12/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 S Burma Ave
City
Gillette
State
Wyoming
Zip
82716-3426
Phone Number
307-688-5000
Fax Number
307-688-5015
person
Provider Business Mailing Address Details
Address
501 S Burma Ave
City
Gillette
State
Wyoming
Zip
82716-3426
Phone Number
307-688-5000
Fax Number
307-688-5015
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PPC-660 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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