Individual
KELLY ANNE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
770 NORTHWOOD BLVD STE 6, INCLINE VILLAGE, NV 89451-8234
(775) 832-0952
Mailing address
PO BOX 3043, INCLINE VILLAGE, NV 89450-3043
(530) 417-2466
(530) 417-2466
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01378
NV
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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