Organization
BLACK BROOK COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KARAS LICSW (OWNER)
(781) 789-5359
Entity
Organization
Contact information
Practice address
4 SHORELINE DR UNIT 6, BOSCAWEN, NH 03303-3523
(781) 789-5359
Mailing address
4 SHORELINE DR UNIT 6, BOSCAWEN, NH 03303-3523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255716015
NPI 1
—
Enumeration date
01/19/2021
Last updated
01/19/2021
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