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Organization

UNTETHERED THERAPY GROUP, LLC

Active
Other names
Untethered Therapy Group
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER L PUTNEY (MANAGING MEMBER)
(304) 216-8287
Entity
Organization

Contact information

Practice address
570 LINCOLN AVE, BELLEVUE, PA 15202-3530
(304) 216-8287
Mailing address
570 LINCOLN AVE, BELLEVUE, PA 15202-3530
(304) 216-8287

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC 007892
PA
106H00000X
Marriage & Family Therapist
Primary
MF000693
PA

Other

Enumeration date
01/17/2015
Last updated
01/17/2015
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