Healthcare Provider Details

I. General information

NPI: 1447923339
Provider Name (Legal Business Name): NANCY LOKEN MS, LAC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 S MINNESOTA AVE
SIOUX FALLS SD
57108-2707
US

IV. Provider business mailing address

3620 E SIASCONSET PL
SIOUX FALLS SD
57108-3050
US

V. Phone/Fax

Practice location:
  • Phone: 605-251-1451
  • Fax:
Mailing address:
  • Phone: 605-251-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLAC13031577
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC20268
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: