Individual
TINA BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT, PLLC
Contact information
Practice address
17 GREGORY ST, GLOVERSVILLE, NY 12078-1425
(518) 774-7345
Mailing address
17 GREGORY ST, GLOVERSVILLE, NY 12078-1425
(518) 774-7345
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
08/18/2023
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