Organization
CEDAR GROVE COUNSELING AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ROCHE LICSW (OWNER AND MH CLINICIAN)
(978) 307-8654
Entity
Organization
Contact information
Practice address
89 PORTSMOUTH AVE, STRATHAM, NH 03885-2467
(978) 307-8654
Mailing address
89 PORTSMOUTH AVE, STRATHAM, NH 03885-2467
(860) 373-8421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3104762
—
NH
05
—
3121290
—
NH
Enumeration date
11/01/2019
Last updated
08/25/2021
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