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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