| Wild Roots Counseling | |
|
3909 Wrightsville Ave Ste 210 Wilmington NC 28403-6250 | |
| (602) 999-9565 | |
| Not Available |
| Full Name | Wild Roots Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3909 Wrightsville Ave Ste 210, Wilmington, North Carolina |
| Authorized Official Name and Position | Jordan Mary Killian (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6029999565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Roots Counseling 216 S 12th St Wilmington NC 28401-4814 Ph: (602) 999-9565 | Wild Roots Counseling 3909 Wrightsville Ave Ste 210 Wilmington NC 28403-6250 Ph: (602) 999-9565 |
| NPI Number | 1114892460 |
|---|---|
| Provider Enumeration Date | 10/07/2025 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114892460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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