Individual provider · Type 1 NPI

Kieran Root, R1408231020

Addiction (Substance Use Disorder) Counselor · Fullerton, CA

NPI number 1255934022 Active

Practice location

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

Call (714) 879-0929 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1408231020 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255934022

Kieran Root, R1408231020's National Provider Identifier is 1255934022, issued on Nov 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fullerton, CA. The record was last updated on Nov 16, 2020.