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Organization
REVIVE COUNSELING ASSOCIATES
Active
Organization
REVIVE COUNSELING ASSOCIATES
Active
Other names
Revive Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COOK MS, NCC, LPC (MEMBER)
(570) 262-4788
Entity
Organization
Contact information
Practice address
480 PIERCE ST STE 108, KINGSTON, PA 18704-5512
(570) 262-4788
Mailing address
480 PIERCE ST STE 108, KINGSTON, PA 18704-5512
(570) 262-4788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
08/02/2021
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