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Organization
REVEAL 2 HEAL CONSULTING SERVICES LLC
Active
Organization
REVEAL 2 HEAL CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OCTAVIA BRADLEY (CEO)
(973) 850-9554
Entity
Organization
Contact information
Practice address
2130 MILLBURN AVE, MAPLEWOOD, NJ 07040-3725
(973) 850-9554
Mailing address
64 LENOX ST, NEWARK, NJ 07106-3006
(862) 371-4463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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