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Individual

MR. KENNETH ROLAND LACERTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
416 HILLDALE AVE, HAVERHILL, MA 01832-2561
(978) 273-4128
Mailing address
416 HILLDALE AVE, HAVERHILL, MA 01832
(978) 273-4128

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
530
MA
1041C0700X
Clinical Social Worker
207269
MA
106H00000X
Marriage & Family Therapist
521
MA

Other

Enumeration date
07/05/2011
Last updated
03/28/2017
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