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Organization
DEEPLY ROOTED FAMILY COUNSELING PROF CORP
Active
Organization
DEEPLY ROOTED FAMILY COUNSELING PROF CORP
Active
Other names
Deeply Rooted Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON SPENCER LMFT (PRESIDENT/CLINICIAN)
(559) 283-5441
Entity
Organization
Contact information
Practice address
5740 N PALM AVE STE 101, FRESNO, CA 93704-1800
(559) 283-5441
Mailing address
5740 N PALM AVE STE 101, FRESNO, CA 93704-1800
(559) 547-0907
(559) 705-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
06/25/2026
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