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General NPI Number Information
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NPI Number | 1932065265
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Entity Type | Organization
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Legal Business Name | NORTHERN ROOTS COUNSELING, LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 9350 INDEPENDENCE DR STE 201
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City | ANCHORAGE
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State | AK
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Zip | 99507-4619
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Country | US
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Telephone | 907-931-9989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110662
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City | ANCHORAGE
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State | AK
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Zip | 99511-0662
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Country | US
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Telephone | 907-223-0134
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Fax |
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Authorized Official
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Title or Position | CLINICIAN/OWNER
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Name | JANNA HARVEY
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Credential | LPCS, PMH-C
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Telephone | 907-223-0134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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