Mountain Root Healing

NPI #1629617568 in Kalispell, Montana

Provider Information

NPI Number: 1629617568
Entity Type: Organization
Organization Name: Mountain Root Healing
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 307 1ST AVE E STE 15
City: Kalispell
State: Montana
ZIP Code: 59901-4965
Phone: (562) 519-8492

Authorized Official

Name: KATHREN GONZALEZ, LCSW
Title: MEMBER
Phone: (562) 519-8492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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