Legion Therapeutic Group, LLC
NPI #1437681038 in Bryn Mawr, Pennsylvania
Provider Information
- NPI Number
- 1437681038
- Entity Type
- Organization
- Organization Name
- Legion Therapeutic Group, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 2, 2017
- Last Updated
- Apr 2, 2017
Practice Location
- Address
- 14 ELLIOTT AVE
- Address 2
- SUITE 9
- City
- Bryn Mawr
- State
- Pennsylvania
- ZIP Code
- 19010-3412
- Phone
- (844) 534-4661
Authorized Official
- Name
- MR. MICHAEL M GREEN, LPC
- Title
- FOUNDER
- Phone
- (267) 595-0588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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