Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kieran Root, R1408231020

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255934022

Kieran Root, R1408231020 is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

771 W Orangethorpe Ave
Fullerton, CA 92832-2806
Phone: (714) 879-0929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1408231020 (CA)

Record details

NPI number1255934022
Entity typeIndividual (Type 1)
GenderFemale
Credentials R1408231020
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

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