Organization
DEEP ROOTS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA BROCK MA, LPC (OWNER)
(720) 446-6549
Entity
Organization
Contact information
Practice address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 446-6549
Mailing address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0012319
CO
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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