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Organization
ROOTS RENEWAL COUNSELING
Active
Organization
ROOTS RENEWAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE STOCKHAM-RONOLLO LPC (EXECUTIVE DIRECTOR)
(402) 280-2735
Entity
Organization
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(402) 280-2735
Mailing address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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