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Individual
MS. KIMBERLY GAYLE ROOT
Active
Individual
MS. KIMBERLY GAYLE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287602
KY
101YM0800X
Mental Health Counselor
Primary
302952
KY
101YM0800X
Mental Health Counselor
MHC.LH.70128925
WA
Other
Enumeration date
09/29/2023
Last updated
09/14/2026
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