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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