# MR. PERRY JAMES ROOT SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417415621
- **Gender:** Man
- **Credential:** LIMHP, CMSW, PLADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2815 | NE | — |
| 104100000X | Social Worker | 7342 | NE | — |
| 1041C0700X | Clinical Social Worker | 11766 | NE | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 04/27/2023