person
Lisa Marie Root
Mental Health Counselor in Brookings, Oregon
NPI 1366100174

Lisa Marie Root is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Lisa Marie Root practices in Brookings, OR. The NPI Number for Lisa Marie Root is 1366100174 and holds a License No. (Oregon).

The current practice location address for Lisa Marie Root is 210 Cove Rd, Brookings, OR and can be reached out via phone at 541-469-0222 and via fax at 541-469-0228.

Location: 210 Cove Rd, Brookings, OR, 97504-4004
person
Provider Profile Details
NPI Number
1366100174
Provider Name
Lisa Marie Root
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 Cove Rd, Brookings, OR, 97504-4004
Phone Number
541-469-0222
Fax Number
541-469-0228
Provider Enumeration Date
11/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Cove Rd
City
State
Zip
97415-2520
Phone Number
541-469-0222
Fax Number
541-469-0228
person
Provider Business Mailing Address Details
Address
210 Cove Rd
City
State
Zip
97415-2520
Phone Number
541-469-0222
Fax Number
541-469-0228
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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