| Roots Counseling, Pllc. | |
|
180 W Michigan Ave Jackson MI 49201-1345 | |
| (517) 392-1814 | |
| Not Available |
| Full Name | Roots Counseling, Pllc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 180 W Michigan Ave, Jackson, Michigan |
| Authorized Official Name and Position | Annissa J Lewis (SOLE MEMBER/LICENSED COUNSELOR) |
| Authorized Official Contact | 5173921814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Counseling, Pllc. 410 High St Marshall MI 49068-1224 Ph: (517) 392-1814 | Roots Counseling, Pllc. 180 W Michigan Ave Jackson MI 49201-1345 Ph: (517) 392-1814 |
| NPI Number | 1073026498 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073026498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009840 (Michigan) | Primary |
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