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Organization
GROUNDED ROOTS PSYCHOTHERAPY
Active
Organization
GROUNDED ROOTS PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA WRIGHT LPC (OWNER, MENTAL HEALTH CLINICIAN)
(703) 828-5699
Entity
Organization
Contact information
Practice address
3015 NICOSH CIR, FALLS CHURCH, VA 22042-1235
(703) 828-5699
Mailing address
4106 VIA DEL REY, OCEANSIDE, CA 92057-6474
(203) 506-3502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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