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Organization
INTEGRATE THERAPY AND WELLNESS COLLECTIVE
Active
Organization
INTEGRATE THERAPY AND WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBUR GREGORIO LSW (MENTAL HEALTH THERAPIST)
(610) 883-6005
Entity
Organization
Contact information
Practice address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Mailing address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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