Organization
ROOTED IN SKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL K THERRIEN MA, MFT (OWNER)
(510) 421-6400
Entity
Organization
Contact information
Practice address
4341 S WESTNEDGE AVE STE 2212, KALAMAZOO, MI 49008-3287
(510) 421-6400
Mailing address
619 CAMPBELL AVE, KALAMAZOO, MI 49006-3008
(510) 421-6400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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