| Wildly Rooted Counseling Llc | |
|
304 W Spotswood Trail Suite D Elkton VA 22827 | |
| (540) 578-3691 | |
| (540) 578-3691 |
| Full Name | Wildly Rooted Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 304 W Spotswood Trail, Elkton, Virginia |
| Authorized Official Name and Position | Kate A Bowman (OWNER) |
| Authorized Official Contact | 5405783691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildly Rooted Counseling Llc 304 W Spotswood Trail Suite D Elkton VA 22827 Ph: (540) 578-3691 | Wildly Rooted Counseling Llc 304 W Spotswood Trail Suite D Elkton VA 22827 Ph: (540) 578-3691 |
| NPI Number | 1104575430 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104575430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |