Organization
GMT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN TUCKER LPC, ATR-BC (DIRECTOR AND LEAD CLINICIAN)
(860) 933-8345
Entity
Organization
Contact information
Practice address
23 PROSPECT AVE APT 1, BRYN MAWR, PA 19010-2604
(860) 933-8345
Mailing address
23 PROSPECT AVE APT 1, BRYN MAWR, PA 19010-2604
(860) 933-8345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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