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How to Become a Mental Health Counselor in South Dakota for 2025

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Employment opportunities for mental health counselors across the United States (US) is expected to increase over the next decade. A major reason is the mental health state of the nation as well as issues surrounding the accessibility and affordability of mental health services. In South Dakota, 29.1% of adult residents shared that they had symptoms of anxiety or depression in February 2021, with 16.9% unable to receive the necessary treatment (National Alliance on Mental Illness, 2023).

Given the demand, aspiring mental health counselors in the Mount Rushmore State are encouraged to venture into the field. To help aspirants, I created an in-depth guide on how to become a mental health counselor in South Dakota.

Key Things You Should Know About Becoming a Mental Health Counselor in South Dakota

  • Across the US, 28.2% of adults reported symptoms of anxiety and/or depressive disorder in May 2022. In South Dakota, 22.6% of adults reported the same symptoms during the same period (Kaiser Family Foundation, 2024).
  • In the US, employment for substance abuse, behavioral disorder, and mental health counselors is expected to grow by 18% between 2022 and 2032 [US Bureau of Labor Statistics (BLS), 2024].
  • Substance abuse, behavioral disorder, and mental health counselors in South Dakota had a median hourly wage of $23.33 in May 2023 (US BLS, 2024), which is equivalent to an estimated $44,793.6 annual wage.
  • Single adult residents without children in South Dakota can live comfortably with a gross annual income of $40,718 (Glasmeier & Massachusetts Institute of Technology, 2024).
  • To become a licensed professional counselor (LPC), candidates must complete a master's degree in a related field, undergo supervised clinical experience, and pass the National Counselor Examination (NCE).

Table of Contents

  1. What is the role of a mental health counselor in South Dakota?
  2. What are the steps to pursue mental health counseling in South Dakota?
  3. How can students in South Dakota prepare for a career in mental health counseling?
  4. How important is practicum experience for mental health counselors in South Dakota?
  5. What specializations can mental health counselors in South Dakota pursue?
  6. What are mental health counselors' educational and licensing requirements in South Dakota?
  7. Is South Dakota a good place to work as a mental health counselor?
  8. What is the demand for mental health counselors in South Dakota?
  9. What careers are available to Mental Health Counseling Graduates in South Dakota?
  10. What are the marriage counselor education requirements in South Dakota?
  11. Is a Master's Degree in Counseling Worth the Investment?
  12. What are the legal and ethical considerations for mental health counselors in South Dakota?
  13. What future trends will impact mental health counseling in South Dakota?
  14. Which educational programs best prepare you for a career in mental health counseling in South Dakota?
  15. How can professional networking and mentorship advance your counseling career in South Dakota?
  16. Are there opportunities for specialization in related fields?
  17. How can you expedite the LPC licensing process in South Dakota?
  18. What challenges do mental health counselors face in South Dakota?
  19. What additional certifications can broaden your practice in South Dakota?
  20. How can mental health counselors manage burnout effectively in South Dakota?
  21. How can telehealth and online education reshape your counseling practice in South Dakota?
  22. Other Things You Should Know about Mental Health Counseling in South Dakota

What is the role of a mental health counselor in South Dakota?

Across the US, 28.2% of adults reported symptoms of anxiety and/or depressive disorder in May 2022. In South Dakota, 22.6% of adults reported the same symptoms during the same period (Kaiser Family Foundation, 2024). Mental health counselors in South Dakota are vital in addressing the state's distinct mental health needs. These professionals provide essential support for different issues, such as anxiety, depression, and substance abuse. Their work is particularly important in both urban and rural areas, where access to mental health services can be limited.

Counselors in South Dakota are trained to recognize and respond to the cultural and regional factors that influence mental health. This is especially relevant for rural populations, where stigma surrounding mental health can hinder individuals from seeking help. Counselors often operate in various environments, including schools, community health centers, and private practices, ensuring that their approaches are culturally sensitive and aligned with local values.

To effectively serve the residents of South Dakota, mental health counselors focus on the following key areas:

  • Talk Therapy: Assisting clients in discussing and understanding their challenges
  • Coping Strategies: Helping individuals develop techniques to manage stress and trauma
  • Family Counseling: Addressing relational dynamics to improve family functioning

By creating a nurturing atmosphere, counselors empower clients to take control of their mental well-being, making them an integral part of the state's healthcare system.

A local mental health counselor in South Dakota shared his insights about his journey after graduating with a degree in counseling: “Starting my career in a big city in South Dakota was both exciting and daunting. The demand for mental health services is high, and I quickly realized how crucial my role was in helping people navigate their struggles.” They emphasized the unique challenges of working with diverse populations, stating, “Every day, I encounter individuals from various backgrounds, each with their own story. It’s rewarding to see them grow and find hope.” This counselor's experience highlights the importance of adaptability and cultural competence in their practice, showcasing the profound impact mental health counselors have in South Dakota.

What are the steps to pursue mental health counseling in South Dakota?

To embark on a career as a mental health counselor in South Dakota, you must follow a series of essential steps that align with state-specific requirements. Below is a practical guide to help you navigate this process:

  • Earn a Bachelor’s Degree: Among the minimum counselor education requirements is a 4-year undergraduate degree in psychology, social work, or a related field. This foundational education is crucial for understanding the principles of mental health and counseling.
  • Complete a Master’s Program: Pursue a master’s degree in counseling or a closely related discipline. South Dakota requires that these programs be accredited to ensure that they meet the necessary educational standards. Institutions, such as the University of South Dakota, offer relevant programs that cover essential topics, including counseling theories, ethics, and clinical practices.
  • Fulfill Clinical Experience Requirements: Supervised clinical experience or hands-on training is vital for developing practical skills under the guidance of a licensed professional. Ensure that your experience meets the state’s specific requirements, as these can vary.
  • Take the Required Examination: Prepare for and pass the state licensing examination. South Dakota recognizes the National Counselor Examination (NCE) or the National Clinical Mental Health Counselor Examination (NCMHCE), both administered by the National Board for Certified Counselors (NBCC). Check with the South Dakota Board of Examiners for Counselors and Marriage and Family Therapists for specific details.
  • Obtain Licensure: After completing your education and clinical hours, apply for licensure through the South Dakota licensing board. This step is crucial for legally practicing as a mental health counselor in the state.
  • Consider Additional Certifications: While optional, pursuing further certifications can enhance your qualifications and job prospects. Specializations, such as addiction counseling or trauma-informed care, can set you apart in the competitive job market. For those interested in understanding potential earnings for counselors, you can explore our guide to counselor salary expectations.

How can students in South Dakota prepare for a career in mental health counseling?

To effectively prepare for a career in mental health counseling in South Dakota, students should take several strategic steps that will enhance their educational and professional prospects.

  • Selecting Schools: It is essential to choose accredited academic institutions that offer robust counseling programs. In South Dakota, the University of South Dakota and South Dakota State University are prominent choices, both providing comprehensive curricula that meet state licensure requirements. Accreditation from recognized bodies, such as the Council for Accreditation of Counseling and Related Educational Programs (CACREP), is vital as it ensures the program's quality and recognition.
  • Pursuing Relevant Programs: Students can focus on training in specialty areas, including trauma-informed care, substance abuse counseling, or family therapy. Programs that incorporate practical experiences, such as internships or supervised counseling practice, are crucial for developing the necessary skills to succeed in the field.
  • Joining Organizations: Engaging with local counseling organizations can be beneficial. These organizations offer networking opportunities, professional development resources, and access to workshops and conferences that keep students informed about industry standards and practices.

The chart below provides a visualization of the education attainment of mental health counselors in the US by gender, according to 2022 data from Data USA.

How important is practicum experience for mental health counselors in South Dakota?

Practicum experience is a critical component for aspiring mental health counselors in South Dakota. It is essential for developing the skills necessary to address the diverse mental health challenges faced by residents. This hands-on training not only enhances theoretical knowledge but also equips students with practical skills to navigate real-world scenarios.

Completing a practicum offers several benefits:

  • Skill Development: Students gain firsthand experience in assessing and treating clients, which is invaluable for building confidence and competence.
  • Networking Opportunities: Practicum placements often lead to connections with professionals in the field, opening doors for future employment and mentorship.
  • Employment Prospects: Students have the opportunity to secure job offers from their practicum sites, as employers often consider candidates who have demonstrated their abilities in a clinical environment.

By engaging in practicum experiences, students are better prepared to tackle the unique mental health issues prevalent in South Dakota, such as rural access to care and community stigma.

Another counselor from South Dakota shared, “Completing my practicum in Sioux Falls was both challenging and rewarding. I remember feeling overwhelmed at first, but the support from my supervisor made all the difference. I learned how to handle crisis situations and developed a deeper understanding of my clients' needs. After graduating, I was fortunate to land a position in a community mental health center. The connections I made during my practicum were instrumental in helping me secure that role. It truly shaped my career path and prepared me for the rewarding challenges ahead.”

What specializations can mental health counselors in South Dakota pursue?

In South Dakota, mental health counselors have the opportunity to specialize in various fields, allowing them to cater to specific client needs and enhance their career prospects. By pursuing these specializations, mental health counselors in South Dakota can enhance their skills and better serve their communities, ultimately improving their career opportunities and earning potential. The following are some of the most recognized specializations available:

  • Addiction Counseling: This area focuses on assisting individuals dealing with substance abuse and addiction. Counselors assess clients' needs, create treatment plans, and support them through recovery.
  • Marriage and Family Therapy: Professionals in this specialization work with couples and families to improve communication and resolve conflicts. They utilize various therapeutic techniques to foster healthier relationships. This field is essential for those looking to strengthen family dynamics and improve relational health.
  • Child and Adolescent Counseling: Counselors in this field address mental health issues in younger populations, such as anxiety and behavioral problems. They often collaborate with families and educational institutions to create supportive environments. This specialization is vital for ensuring that younger generations receive the mental health support they need.
  • Trauma-Informed Counseling: This specialization is dedicated to helping clients who have experienced trauma. Counselors are trained to recognize trauma's effects on mental health and provide appropriate interventions. Understanding trauma's impact is essential for effective counseling practices.
  • Clinical Mental Health Counseling: This broad specialization encompasses various mental health challenges, including mood disorders and stress management. Counselors offer therapeutic services to individuals and groups, helping clients develop effective coping strategies.

For those interested in pursuing a career in mental health counseling, understanding the various specializations available can be beneficial. Additionally, if you are looking to become a licensed counselor in another state, you might find useful information in our guide to LPC education requirements Indiana. By exploring these career paths, mental health counselors can find their niche and make a significant impact in their communities.

The chart below provides a visualization of the total employment of mental health workers in South Dakota by profession, according to 2024 data from the US BLS.

What are mental health counselors' educational and licensing requirements in South Dakota?

To practice as a mental health counselor in South Dakota, meeting specific educational and licensing criteria is essential. Aspiring professionals must first obtain a bachelor’s degree in psychology, counseling, or a related field. This foundational step prepares candidates for a graduate program, which is a requirement for licensure. A master's degree in counseling, mental health counseling, or a closely related discipline accredited by organizations such as CACREP is mandatory.

After completing their degree, candidates must fulfill supervised clinical experience requirements. South Dakota mandates at least 2,000 hours of post-graduate supervised counseling practice over a two-year period. This hands-on training ensures that practitioners are equipped to handle the complexities of the profession, particularly in the state's unique rural and underserved areas.

Finally, aspiring counselors must pass the National Counselor Examination (NCE) or another equivalent test recognized by the South Dakota Board of Examiners for Counselors and Marriage and Family Therapists. With licensure in hand, these professionals can officially provide mental health services in the state.

For those seeking additional guidance on the licensure process, the guide on how to become a therapist in South Dakota offers detailed insights, ensuring candidates have a clear roadmap to achieve their career goals.

Is South Dakota a good place to work as a mental health counselor?

Is South Dakota a good place to work as a mental health counselor? The answer depends on various factors, including personal preferences and career goals. The following are some advantages and disadvantages to consider:

  • Salary and Cost of Living: Substance abuse, behavioral disorder, and mental health counselors in South Dakota had a median hourly wage of $23.33 in May 2023 (US BLS, 2024), which is equivalent to an estimated $44,793.6 annual wage. Notably, single adult residents without children in South Dakota can live comfortably with a gross annual income of $40,718 (Glasmeier & Massachusetts Institute of Technology, 2024). Thus, aspiring counselors who are single and childless may be able to afford the typical monthly expenses in the Mount Rushmore State, considering this income potential.
  • Licensing Reciprocity: South Dakota offers licensing reciprocity for counselors from other states, which can ease the transition for those relocating. This means that if you are licensed in another state, you may be able to practice in South Dakota without having to start the licensing process from scratch.
  • Interstate Practice: South Dakota is a member of the Interstate Medical Licensure Compact, which allows for easier practice across state lines. This can be beneficial if you wish to work in neighboring states or provide telehealth services.
  • State-Sponsored Initiatives: Explore initiatives aimed at improving mental health care access in South Dakota. These programs can provide valuable resources and support for counselors.
  • Rural Challenges: Several areas in the state are rural, which can lead to challenges in accessing mental health services. Counselors may need to be adaptable and innovative in reaching clients.
Number of states in Interstate Medical Licensure Compact.webp

What is the demand for mental health counselors in South Dakota?

In the US, employment for substance abuse, behavioral disorder, and mental health counselors is expected to grow by 18% between 2022 and 2032 [US Bureau of Labor Statistics (BLS), 2024]. Zooming in, South Dakota is currently experiencing a shortage of mental health professionals and is designated as a Health Professional Shortage Area (HPSA). Notably, only 32.6% of the need for mental health professionals is met in the state, and 99 new professionals in the field are needed to be able to remove the HPSA designation as of April 1, 2024 (Bureau of Health Workforce, 2024).

Considering the data, employment opportunities for aspiring mental health counselors are available in South Dakota. Various sectors in the state require the expertise of these professionals. Hospitals, community health centers, and private practices are key employers.

For those interested in pursuing a career in this field, understanding the educational requirements is crucial. Aspiring counselors from other states, such as Utah, can find valuable information about the necessary qualifications and steps to become licensed, including those outlined in the LPC education requirements Utah. With the mental health landscape evolving, now is a purposeful time to consider a career as a mental health counselor in South Dakota.

Percentage of Americans living in mental health professional shortage area.webp

What careers are available to Mental Health Counseling Graduates in South Dakota

Graduates of mental health counseling in South Dakota can explore a range of fulfilling career paths, reflecting the increasing demand for mental health services in the state. The following are some prominent roles available:

  • Mental Health Counselor: Many graduates find positions in community mental health centers, where they offer therapy to individuals facing challenges such as anxiety and depression. This role is particularly vital in rural areas, where access to mental health services can be limited.
  • Substance Abuse Counselor: Given the prevalence of substance use disorders, there is a pressing need for counselors who specialize in addiction treatment.
  • School Counselor: Educational institutions employ counselors to assist students with their emotional and social needs. This position plays a key role in addressing challenges, such as bullying and academic pressure.
  • Rehabilitation Counselor: Graduates can support individuals with disabilities or those recovering from addiction, guiding them toward reintegration into society and fostering independence.
  • Geriatric Counselor: With an aging population, there is a demand for counselors who focus on the mental health of older adults, particularly in nursing homes and assisted living facilities.

Another counselor from South Dakota shared her thoughts on her career: “The transition from being a college student to job hunting was both exciting and overwhelming. I remember my first day at a community mental health center. Working with clients who faced real struggles was challenging, but it was incredibly rewarding. I quickly learned that building trust is essential. One of my first clients was a young man battling addiction. Seeing him progress and regain control of his life was a profound experience. It reaffirmed my choice to pursue this path. The need for counselors in South Dakota is palpable, and I feel fortunate to contribute to my community in such a meaningful way.”

What are the marriage counselor education requirements in South Dakota?

Marriage counseling in South Dakota requires a tailored educational pathway that emphasizes the core dynamics of marital and family issues. Prospective marriage counselors typically need to complete a master’s program in marriage and family therapy (MFT) accredited by relevant bodies to ensure an in-depth curriculum focused on relational theory, family systems, and clinical best practices. In addition to coursework, candidates must fulfill specific hours of supervised clinical practice that reflect the nuances of relationship counseling. Passing a state-recognized licensure examination further validates the ability to address complex marital and family challenges effectively. For detailed guidance on these protocols, review the marriage counselor education requirements in South Dakota.

Is a Master's Degree in Counseling Worth the Investment?

Pursuing a master's degree in counseling can offer significant long-term returns, both in terms of enhanced clinical skills and broader career opportunities. This advanced education often translates to higher earning potential, expanded roles in supervisory positions, and specialized practice areas that cater to diverse mental health needs. In addition, graduates can access increased professional credibility and networking opportunities, which are crucial in competitive markets like South Dakota. For detailed insights on the quantitative and qualitative returns associated with advanced counseling degrees, consider exploring our article on the benefits of masters in counseling.

What are the legal and ethical considerations for mental health counselors in South Dakota?

Mental health counselors in South Dakota must navigate a complex legal and ethical landscape that includes upholding client confidentiality, adhering to state-mandated reporting laws, and managing boundaries within diverse practice settings. Counselors are expected to remain current with evolving state regulations and ethical guidelines, integrating informed consent practices and risk management strategies into their daily operations. Additionally, professionals should engage in regular training focused on ethical decision-making to address dilemmas arising from dual relationships, cultural diversity, and telehealth service delivery. For further interprofessional insight and comparative career guidelines, refer to How long does it take to become a school psychologist in South Dakota?.

What future trends will impact mental health counseling in South Dakota?

Emerging technological advancements and proactive policy reforms are reshaping mental health counseling in South Dakota. Anticipated shifts include increased integration of digital therapeutic tools, enhanced data-driven treatment protocols, and expanded funding for rural mental health initiatives. Additionally, evolving regulatory frameworks are fostering interprofessional collaboration, thereby diversifying career pathways and expanding service models. Professionals who engage with these trends and refine cross-disciplinary competencies will be well-positioned to address the state’s dynamic mental health needs. For insights related to complementary career paths, review our article on social worker education requirements in South Dakota.

Which educational programs best prepare you for a career in mental health counseling in South Dakota?

Formal education remains a critical gateway to a successful counseling career in South Dakota. Academic programs tailored to mental health not only build foundational clinical skills but also expose students to advanced research, ethical practices, and culturally responsive care. Aspiring counselors are encouraged to review rankings and program specifics provided by the best psychology schools in South Dakota to ensure that their chosen institution meets both educational and professional standards.

How can professional networking and mentorship advance your counseling career in South Dakota?

Leveraging professional networking and mentorship can accelerate your career by providing access to industry insights, tailored guidance, and collaborative opportunities that address regional practice challenges. Engaging with local associations and attending specialized conferences allows for direct knowledge exchange, career referrals, and innovative practice strategies. Exploring resources such as our article on the quickest path to becoming a counselor in South Dakota can further streamline your entry into the field while fostering meaningful professional connections.

Are there opportunities for specialization in related fields?

Mental health counselors in South Dakota may also be interested in exploring related fields, such as marriage and family therapy. For those who wish to pursue this path, understanding the requirements and process is essential. To learn more about how to become a marriage and family therapist in South Dakota, aspiring professionals can find valuable resources and guidance to help them achieve their career goals. This specialization can offer a unique set of challenges and rewards, allowing counselors to expand their skill set and provide comprehensive support to individuals and families in need.

How can you expedite the LPC licensing process in South Dakota?

Meticulous planning and proactive engagement can reduce delays in obtaining licensure. Candidates are encouraged to organize their documentation, schedule required supervised practice hours efficiently, and seek guidance from experienced professionals. Leveraging updated state guidelines and industry best practices assists in identifying common procedural bottlenecks early. Reviewing the LPC license requirements in South Dakota provides essential insights into exam protocols and application timelines, empowering professionals to streamline the licensing process effectively.

What challenges do mental health counselors face in South Dakota?

Mental health counselors in South Dakota face a variety of challenges that can impact their effectiveness and job satisfaction. Understanding these obstacles is crucial for anyone considering a career in this field.

  • Access to Care: South Dakota is a Health Professional Shortage Area (HPSA). This scarcity may result in high caseloads for existing counselors, making it difficult to provide adequate attention to each client.
  • Licensure and Regulatory Issues: Navigating the licensure process can be complex and time-consuming. South Dakota has specific requirements that can be challenging for new graduates, including supervised hours and examinations. This can delay entry into the profession and discourage potential counselors.
  • Economic Factors: By August 2024, South Dakota ranked 17 out of all 50 US states in terms of economic performance (American Legislative Exchange Council, 2024). While this ranking seems promising, the situation may be different on the ground. Funding can affect the quality of mental health services provided by professionals and received by clients and patients. Limited resources often lead to inadequate support for counselors, impacting their ability to deliver quality care. Counselors may also face challenges in securing competitive salaries, which can lead to burnout and high turnover rates.
  • Work-Life Balance: The demanding nature of counseling work, combined with the emotional toll of dealing with clients' trauma, can lead to stress for mental health professionals. Counselors must prioritize self-care and establish boundaries to maintain their mental health.
  • Professional Development: Opportunities for continuing education may be limited in rural areas, making it essential for counselors to seek out online resources or workshops to enhance their skills and stay current with best practices. Engaging in regular professional development can help counselors stay motivated and equipped to handle the challenges they face. Exploring options to advance in education and training, such as cheap online counseling programs, can be beneficial.

What additional certifications can broaden your practice in South Dakota?

Pursuing additional certifications can diversify a counselor’s skill set and enhance service offerings in a competitive market. Mental health professionals may benefit from specialized training in areas such as trauma-informed care or dual-specialty programs that address emerging community needs. For instance, counselors interested in expanding their expertise to include substance abuse treatment can explore detailed certification requirements outlined in our guide on how to become a substance abuse counselor in South Dakota. Such supplemental credentials not only refine clinical competencies but also improve career advancement prospects by meeting evolving regional demands.

How can mental health counselors manage burnout effectively in South Dakota?

Mental health counselors in South Dakota often contend with high caseloads and emotional demands that can lead to burnout. Effective strategies include implementing structured self-care routines, engaging in regular professional supervision, and establishing peer support networks to share coping techniques. Counselors may also benefit from setting clear work-life boundaries and pursuing continued education in stress management and resilience-building practices. Exploring complementary career models, such as learning how to become a school counselor in South Dakota, can offer additional perspectives on sustaining a long-term, healthy practice.

How can telehealth and online education reshape your counseling practice in South Dakota?

Integrating telehealth services is transforming client engagement and overcoming geographic barriers in South Dakota. This approach not only expands access for rural populations but also streamlines administrative processes and enhances appointment flexibility. Furthermore, pursuing advanced education through distance learning opportunities can cultivate specialized skills and ensure practitioners remain at the forefront of emerging treatment modalities. For example, enrolling in online clinical MSW programs provides a pathway to develop expertise in integrated clinical practices, thereby fostering innovation in both therapeutic techniques and service delivery.

Here’s What Mental Health Counselors in South Dakota Have to Say About Their Careers

  • "Working as a mental health counselor in South Dakota has allowed me to make a tangible difference in my community. The deep connections I form with clients, combined with the beautiful landscapes of our state, create a fulfilling work-life balance that I cherish every day. I feel truly privileged to support individuals on their journey to healing." —Shelby
  • "Pursuing a career in mental health counseling in South Dakota has opened doors to diverse experiences, from working with Native American populations to addressing rural mental health challenges. The sense of camaraderie among professionals in this field is inspiring, and I find immense satisfaction in helping others navigate their struggles. It’s a rewarding path that continually fuels my passion for advocacy." —Elizabeth
  • "As a mental health counselor in South Dakota, I’ve witnessed firsthand the resilience of our communities. The opportunity to provide support in a state that values mental health awareness has been incredibly empowering. Each success story reminds me why I chose this path, and I am grateful for the chance to contribute to the well-being of others." —Jackson

Other Things You Should Know about Mental Health Counseling in South Dakota

How long does it take to become a mental health counselor in South Dakota?

Becoming a mental health counselor in South Dakota usually spans 8 to 10 years. This time period includes undergraduate studies, graduate studies, supervised clinical experience, and licensure preparation.

Can you be a counselor in South Dakota without a license?

In South Dakota, practicing as a mental health counselor without a license is not permitted. Counselors are mandated to earn a master's degree in counseling or a related field, complete supervised clinical hours, and pass the corresponding licensure examination to get issued a license. Engaging in counseling without proper licensure can lead to legal repercussions, including fines and potential criminal charges.

Can counselors diagnose in South Dakota?

Licensed mental health counselors in South Dakota play a vital role in supporting individuals facing emotional challenges. They are authorized to assess, diagnose, and treat mental health disorders. Notably, it is essential to understand the scope of practice regarding diagnosis.

What is the highest-paying type of counselor in South Dakota?

According to 2024 data from the US BLS, the highest-paid types of counselor in South Dakota in 2023 were clinical and counseling psychologists, with a median hourly wage of $40.13. These roles usually require a doctoral degree in the specialization and extensive training.

References:

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