| Revive Counseling And Wellness Services, Llc | |
|
102 Jefferson Ave Egg Harbor Twp NJ 08234-9739 | |
| (609) 402-6920 | |
| Not Available |
| Full Name | Revive Counseling And Wellness Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 102 Jefferson Ave, Egg Harbor Twp, New Jersey |
| Authorized Official Name and Position | Veronica L. Ford (CO-OWNER) |
| Authorized Official Contact | 6094026920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling And Wellness Services, Llc Po Box 1536 Pleasantville NJ 08232-6536 Ph: (609) 402-6920 | Revive Counseling And Wellness Services, Llc 102 Jefferson Ave Egg Harbor Twp NJ 08234-9739 Ph: (609) 402-6920 |
| NPI Number | 1740948827 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740948827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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