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Organization

ROOTED THERAPY COOPERATIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL MACKEY LCPC (OWNER/CLINICIAN)
(541) 279-5602
Entity
Organization

Contact information

Practice address
1300 ARROWHEAD PLAZA WAY STE 4, DRIGGS, ID 83422-5234
(541) 279-5602
Mailing address
PO BOX 1160, VICTOR, ID 83455-1800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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