Individual
ELIZABETH ANN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
(612) 385-6137
Mailing address
111 HUNDERTMAKE RD SUITE 450, CHASKA, MN 55318
(952) 368-0450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
3717
MN
Other
Enumeration date
09/01/2018
Last updated
12/05/2023
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