Radical Roots Psychotherapy, a Licensed Clinical Social Worker, PC
NPI #1003664947 in Campbell, California
Provider Information
- NPI Number
- 1003664947
- Entity Type
- Organization
- Organization Name
- Radical Roots Psychotherapy, a Licensed Clinical Social Worker, PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 7, 2024
- Last Updated
- Mar 25, 2025
Practice Location
- Address
- 65 E LATIMER AVE
- City
- Campbell
- State
- California
- ZIP Code
- 95008-1205
- Phone
- (626) 833-1106
Authorized Official
- Name
- ALEXIS MATHIAS, LCSW
- Title
- CEO/OWNER
- Phone
- (626) 833-1106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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