Organization
GRACE ROOTS COUNSELING, P.L.L.C.
Active
Other names
Grace Roots Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE KHRESTSOV MSW, LCSW (OWNER)
(303) 997-1459
Entity
Organization
Contact information
Practice address
16035 TABLE MOUNTAIN PKWY, GOLDEN, CO 80403-1642
(303) 997-1459
Mailing address
16035 TABLE MOUNTAIN PKWY, GOLDEN, CO 80403-1642
(303) 997-1459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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