# DEEP ROOTS THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912365255
- **Authorized official:** KELLEY CRANE MA, LMFT (OWER; MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (951) 295-4911

## Contact information

- **Practice address:** 2319 N 45TH ST, \#110, SEATTLE, WA 98103-6982
- **Practice address phone:** (951) 295-4911
- **Mailing address:** 6322 5TH AVE NE, SEATTLE, WA 98115-6518
- **Mailing address phone:** (951) 295-4911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LF60445167 | WA | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 02/01/2016