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Organization
DEEPLY ROOTED WELLNESS AND COUNSELING
Active
Organization
DEEPLY ROOTED WELLNESS AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A CUMMINS LMHC (OWNER)
(978) 758-2565
Entity
Organization
Contact information
Practice address
24 GATES XING, LEOMINSTER, MA 01453-5253
(978) 758-2565
Mailing address
24 GATES XING, LEOMINSTER, MA 01453-5253
(978) 758-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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