| Deep Roots Counseling Group Llc | |
| 
					21 Blackstone St Bellingham MA 02019-1601  | |
| (774) 571-9069 | |
| Not Available | 
| Full Name | Deep Roots Counseling Group Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 21 Blackstone St, Bellingham, Massachusetts | 
| Authorized Official Name and Position | Kerrie Ann Cusack (OWNER/CLINICAL SOCIAL WORKER) | 
| Authorized Official Contact | 7745719069 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deep Roots Counseling Group Llc 21 Blackstone St Bellingham MA 02019-1601 Ph: (774) 571-9069  | Deep Roots Counseling Group Llc 21 Blackstone St Bellingham MA 02019-1601 Ph: (774) 571-9069  | 
| NPI Number | 1093377418 | 
|---|---|
| Provider Enumeration Date | 07/05/2019 | 
| Last Update Date | 08/29/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093377418 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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