Individual provider · Type 1 NPI

Benjamin A. Root

Mental Health Counselor · Mcminnville, OR

NPI number 1962752345 Active

Practice location

420 NE 5th St, Moore Building
Mcminnville, OR 97128-4603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
School Counselor 101YS0200XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962752345

Benjamin A. Root's National Provider Identifier is 1962752345, issued on Sep 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Sep 13, 2012.