Root, Jacob Russell

Root, Jacob Russell is an individual health care provider with primary practice located at 902 E 2Nd St Ste 224 , Winona MN 55987-6509. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Root, Jacob Russell can be contacted via phone (651) 272-9562.

Contact Information

Primary practice address
902 E 2Nd St Ste 224 Winona MN 55987-6509
Phone: (651) 272-9562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3588 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60918068 Washington

Profile Details

NPI number 1477039246
LBN Legal business name Root, Jacob Russell
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Jun 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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