Wildly Rooted Counseling LLC

NPI #1104575430 in Elkton, Virginia

Provider Information

NPI Number: 1104575430
Entity Type: Organization
Organization Name: Wildly Rooted Counseling LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 23, 2022
Last Updated: Mar 23, 2022

Practice Location

Address: 304 W SPOTSWOOD TRAIL
Address 2: SUITE D
City: Elkton
State: Virginia
ZIP Code: 22827
Phone: (540) 578-3691

Authorized Official

Name: KATE A BOWMAN, MA, LPC
Title: OWNER
Phone: (540) 578-3691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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