Organization · Type 2 NPI

Wild Roots Counseling LLC

Marriage & Family Therapist · Brooklyn Park, MN

NPI number 1104673151 Active

Practice location

7100 Northland Cir N Ste 104-H
Brooklyn Park, MN 55428-1548

Fax (612) 230-2034

Other practice locations

  • 11670 Fountains Dr N Ste 278, Maple Grove, MN 55369-7235 · (612) 361-7688

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104673151

Wild Roots Counseling LLC's National Provider Identifier is 1104673151, issued on May 6, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Oct 5, 2026.