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Organization

EVIDENCE-BASED PSYCHOTHERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELENA HONTORIA TUERK (MEMBER)
(434) 230-2233
Entity
Organization

Contact information

Practice address
1 BOARS HEAD LN STE B-6, CHARLOTTESVILLE, VA 22903-4681
(434) 230-2233
Mailing address
1 BOARS HEAD LN STE B-6, CHARLOTTESVILLE, VA 22903-4681
(434) 230-2233

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356645915
NPI
Enumeration date
10/09/2023
Last updated
10/09/2023
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