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Organization
RECOVERY ROOTS SUPPORTIVE SERVICES LLC
Active
Organization
RECOVERY ROOTS SUPPORTIVE SERVICES LLC
Active
Other names
Recovery Roots
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASEY LYN WILSON LADC/ADC-T (SUD COUNSELOR)
(218) 380-2551
Entity
Organization
Contact information
Practice address
114 MINNESOTA ST. SANDSTONE, MN 55072, SANDSTONE, MN 55072
(218) 380-2551
Mailing address
4394 N KENWOOD AVE, MOOSE LAKE, MN 55767-7739
(218) 380-2551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/27/2024
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