Individual
KRIS MARIE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
5403 LAKE RD, CHARLOTTE, VT 05445-9487
(802) 425-7224
Mailing address
5403 LAKE RD, CHARLOTTE, VT 05445-9487
(802) 425-7224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000650
VT
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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