Grace Roots Counseling, P.l.l.c.

NPI #1740992189 in Golden, Colorado

Provider Information

NPI Number: 1740992189
Entity Type: Organization
Organization Name: Grace Roots Counseling, P.l.l.c.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 16, 2022
Last Updated: Dec 16, 2022

Practice Location

Address: 16035 TABLE MOUNTAIN PKWY
City: Golden
State: Colorado
ZIP Code: 80403-1642
Phone: (303) 997-1459

Authorized Official

Name: KATHERINE KHRESTSOV, MSW, LCSW
Title: OWNER
Phone: (303) 997-1459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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