Individual
DR. TAMMY ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS, NCC
Contact information
Practice address
140 PROSPECT AVE STE S, KIRKWOOD, MO 63122-6074
(314) 764-3188
Mailing address
140 PROSPECT AVE STE S, KIRKWOOD, MO 63122-6074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
09/02/2024
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