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Contact Information

A ROOTED LIFE PSYCHOTHERAPY PLLC
1855 MAIN ST STE 208
FERNDALE, WA98248-9060
 Phone: 360-319-9930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for A ROOTED LIFE PSYCHOTHERAPY PLLC · (Female)

NPI # 1588123640
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2019
Last updated 07/18/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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