Organization
NEW ROOTS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONE ANTOINETTE WALCOTT LMFT (BUSINESS OWNER)
(253) 249-1284
Entity
Organization
Contact information
Practice address
7214 LINDEN AVE N, SEATTLE, WA 98103-5112
(253) 249-1284
Mailing address
102 23RD AVE SW APT E203, PUYALLUP, WA 98371-7888
(253) 249-1284
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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