Organization · Type 2 NPI
Southern Roots Therapeutic Services LLC
Professional Counselor · Williamsburg, KY
NPI number
1851155014
Active
Practice location
74 Falin Ln
Williamsburg, KY 40769-1791
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1851155014
Southern Roots Therapeutic Services LLC's National Provider Identifier is 1851155014, issued on Feb 8, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Williamsburg, KY. The record was last updated on Feb 8, 2024.