Individual provider · Type 1 NPI

Mark D. Root, B.A.

Mental Health Counselor · San Francisco, CA

NPI number 1205106929 Active

Practice location

887 Potrero Ave
San Francisco, CA 94110-2869

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205106929

Mark D. Root, B.A.'s National Provider Identifier is 1205106929, issued on Jan 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Jan 11, 2012.