# WILDROOT COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164383212
- **Authorized official:** KASSONDRA M MCADAMS (LCSW)
- **Authorized official phone:** (435) 531-1455

## Contact information

- **Practice address:** 2485 GRANT AVE \# 212, OGDEN, UT 84401-2308
- **Practice address phone:** (435) 531-1455
- **Mailing address:** 4031 E 4475 N, EDEN, UT 84310-9538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 05/20/2026