Individual provider · Type 1 NPI
Jennifer Lynn Root, MA, LPC
Professional Counselor · Alto, MI
NPI number
1114273174
Active
Practice location
8725 Fawn Crest Dr SE
Alto, MI 49302-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401011265 (MI) |
Professional Counselor: Definition to come...
About NPI 1114273174
Jennifer Lynn Root, MA, LPC's National Provider Identifier is 1114273174, issued on Jul 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alto, MI. The record was last updated on Jun 7, 2022.