Deep Roots Counseling Group LLC
NPI #1093377418 in Bellingham, Massachusetts
Provider Information
- NPI Number
- 1093377418
- Entity Type
- Organization
- Organization Name
- Deep Roots Counseling Group LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 5, 2019
- Last Updated
- Aug 29, 2019
Practice Location
- Address
- 21 BLACKSTONE ST
- City
- Bellingham
- State
- Massachusetts
- ZIP Code
- 02019-1601
- Phone
- (774) 571-9069
Authorized Official
- Name
- KERRIE ANN CUSACK, LICSW
- Title
- OWNER/CLINICAL SOCIAL WORKER
- Phone
- (774) 571-9069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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