Organization
BUTUCHA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CUNA LICSW (CEO AND PRESIDENT)
(617) 960-6852
Entity
Organization
Contact information
Practice address
1362 SKIPPING STONE CT, DACULA, GA 30019-4006
(617) 960-6852
(877) 760-0480
Mailing address
1362 SKIPPING STONE CT, DACULA, GA 30019-4006
(617) 960-6852
(877) 760-0480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14662512
—
MA
Enumeration date
04/24/2023
Last updated
04/24/2023
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