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Organization
ROOTS FOUNDATIONAL COUNSELING LLC
Active
Organization
ROOTS FOUNDATIONAL COUNSELING LLC
Active
Other names
ROOTS FOUNDATIONAL COUNSELING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JACKSON MS (OWNER)
(206) 249-6133
Entity
Organization
Contact information
Practice address
9138 NE HOYT ST, PORTLAND, OR 97220-5868
(206) 249-6133
Mailing address
9138 NE HOYT ST, PORTLAND, OR 97220-5868
(206) 249-6133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/27/2023
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