Individual
JAMES EDWARD ROOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3926 LEISURE LN, COLORADO SPRINGS, CO 80917-3502
(719) 439-1620
Mailing address
3926 LEISURE LN, COLORADO SPRINGS, CO 80917-3502
(719) 439-1620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC0103886
CO
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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