Organization
INTEGRATE THERAPY AND WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBUR GREGORIO LSW (MENTAL HEALTH THERAPIST)
(610) 883-6005
Entity
Organization
Contact information
Practice address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Mailing address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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