Organization
ROOTED RELATIONAL THERAPY LLC
Active
Other names
Rooted Relational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG RICHARD MAMFT (OWNER AND THERAPIST)
(570) 884-4662
Entity
Organization
Contact information
Practice address
400 MARKET ST, MIFFLINBURG, PA 17844-1249
(570) 884-4662
Mailing address
PO BOX 54, MIFFLINBURG, PA 17844-0054
(570) 884-4662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/18/2018
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