# A ROOTED LIFE PSYCHOTHERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588123640
- **Authorized official:** JENNIFER BAYER (OWNER)
- **Authorized official phone:** (360) 319-9930

## Contact information

- **Practice address:** 1855 MAIN ST STE 208, FERNDALE, WA 98248-9060
- **Practice address phone:** (360) 319-9930
- **Mailing address:** 1140 10TH ST STE 203, BELLINGHAM, WA 98225-7053
- **Mailing address phone:** (360) 391-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 07/18/2023