Organization
NJLAROCQUE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JEAN LAROCQUE LICSW (OWNER/MANAGER)
(617) 331-1180
Entity
Organization
Contact information
Practice address
525 MASSACHUSETTS AVE STE 101F, ACTON, MA 01720-2963
(617) 331-1180
(888) 430-8150
Mailing address
525 MASSACHUSETTS AVE STE 101F, ACTON, MA 01720-2963
(617) 331-1180
(888) 430-8150
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
114971
MA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
114971
MA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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