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General NPI Number Information
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NPI Number | 1134023443
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Entity Type | Organization
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Legal Business Name | SIMPLY ROOTED COUNSELING LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 20 RED RIVER AVE S STE 220
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City | COLD SPRING
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State | MN
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Zip | 56320-2607
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Country | US
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Telephone | 320-289-4617
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Fax |
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Provider Business Mailing Address
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Address Line | 20 RED RIVER AVE S STE 220
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City | COLD SPRING
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State | MN
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Zip | 56320-2607
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Country | US
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Telephone | 320-289-4617
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER LUND
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Credential |
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Telephone | 320-289-4617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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