Individual provider · Type 1 NPI

Lisa Root, PSYD

Mental Health Counselor · Fairbanks, AK

NPI number 1376986802 Active

Practice location

442 Hagelbarger Ave
Fairbanks, AK 99712-1917

Call (907) 350-4353 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X012375 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1376986802

Lisa Root, PSYD's National Provider Identifier is 1376986802, issued on Apr 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 15, 2013.