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Organization
RECOVERED ROOTS COUNSELING LLC
Active
Organization
RECOVERED ROOTS COUNSELING LLC
Active
Other names
Recovered Roots Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WILLDEN (CEO)
(503) 451-5148
Entity
Organization
Contact information
Practice address
4510 SE HOLGATE BLVD, PORTLAND, OR 97206-4020
(503) 451-5148
(503) 883-8208
Mailing address
2850 SW CEDAR HILLS BLVD # 2064, BEAVERTON, OR 97005-1354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
10/07/2025
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