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Organization
KINTSUGI PSYCHOTHERAPY
Active
Organization
KINTSUGI PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MALLOWES LMHC (OWNER)
(508) 221-1224
Entity
Organization
Contact information
Practice address
411 ROUTE 6A BLDG 2, YARMOUTH PORT, MA 02675-1843
(508) 221-1224
Mailing address
194 MAIN ST, BREWSTER, MA 02631-1037
(508) 221-1224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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