Organization
HEALING ROOTS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA TUCKER MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(678) 948-5783
Entity
Organization
Contact information
Practice address
1690 STONE VILLAGE LN NW STE 601B, KENNESAW, GA 30152-7777
(678) 948-5783
Mailing address
3773 BUTTERFIELD DR NW, KENNESAW, GA 30152-6989
(678) 770-7577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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