| Recovered Roots Counseling Llc | |
|
2291 Nw Oak Knoll Pl Beaverton OR 97006-8075 | |
| (503) 451-5148 | |
| Not Available |
| Full Name | Recovered Roots Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2291 Nw Oak Knoll Pl, Beaverton, Oregon |
| Authorized Official Name and Position | Jonathan Willden (CEO) |
| Authorized Official Contact | 5034515148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovered Roots Counseling Llc 2850 Sw Cedar Hills Blvd # 2064 Beaverton OR 97005-1354 Ph: () - | Recovered Roots Counseling Llc 2291 Nw Oak Knoll Pl Beaverton OR 97006-8075 Ph: (503) 451-5148 |
| NPI Number | 1679398333 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679398333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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