Individual
AMANDA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 20TH AVE W, KIRKLAND, WA 98033-4815
(425) 691-0403
Mailing address
705 20TH AVE W, KIRKLAND, WA 98033-4815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61311248
WA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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