| Tara C Gutgesell Ma Lpc Llc | |
|
1407 Bethlehem Pike Fl 2 Flourtown PA 19031-1946 | |
| (215) 836-1934 | |
| Not Available |
| Full Name | Tara C Gutgesell Ma Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1407 Bethlehem Pike Fl 2, Flourtown, Pennsylvania |
| Authorized Official Name and Position | Tara C Gutgesell (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2158361934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara C Gutgesell Ma Lpc Llc 1407 Bethlehem Pike Fl 2 Flourtown PA 19031-1946 Ph: (215) 836-1934 | Tara C Gutgesell Ma Lpc Llc 1407 Bethlehem Pike Fl 2 Flourtown PA 19031-1946 Ph: (215) 836-1934 |
| NPI Number | 1083142608 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 09/22/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083142608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003600 (Pennsylvania) | Primary |
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