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Organization
PROFESSIONAL RECOVERY ORGANIZATION LLC
Active
Organization
PROFESSIONAL RECOVERY ORGANIZATION LLC
Active
Other names
PRO Recovery and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FORTMAN MA LPCC LADC (OWNER)
(651) 204-9144
Entity
Organization
Contact information
Practice address
700 COMMERCE DR STE 245, WOODBURY, MN 55125-2552
(651) 204-9144
(651) 364-7445
Mailing address
700 COMMERCE DR STE 245, WOODBURY, MN 55125-2552
(651) 204-9144
(651) 364-7445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
03/19/2024
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