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Organization
TRAUMA TREATMENT AND RESTORATIVE REENTRY PROGRAMS INC.
Active
Organization
TRAUMA TREATMENT AND RESTORATIVE REENTRY PROGRAMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE JANELLE GILL PHD, LPC (CEO)
(718) 570-3446
Entity
Organization
Contact information
Practice address
700 LOMBARDY AVE APT 7413, NEWPORT NEWS, VA 23606-3368
(718) 570-3446
Mailing address
8341 GRADY ST, DOUGLASVILLE, GA 30134-6910
(678) 653-7512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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