Organization
ROOT COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB R ROOT LMFT (OWNER/LMFT)
(218) 721-2370
Entity
Organization
Contact information
Practice address
902 E 2ND ST STE 224, WINONA, MN 55987-6509
(218) 721-2370
Mailing address
902 E 2ND ST STE 224, WINONA, MN 55987-6509
(218) 721-2370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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