Organization
ROOTED THERAPEUTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN GRANT MLADC (THERAPIST)
(603) 455-5871
Entity
Organization
Contact information
Practice address
182 FLAGHOLE RD, ANDOVER, NH 03216-4125
(603) 455-5871
Mailing address
182 FLAGHOLE RD, ANDOVER, NH 03216-4125
(603) 455-5871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
12/11/2024
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