Organization
REVEALED COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TD MCNUTT DR. (FOUNDER/VISIONARY)
(561) 557-2741
Entity
Organization
Contact information
Practice address
4610 PORTOFINO WAY, 207, WEST PALM BEACH, FL 33409-8154
(561) 557-2741
(561) 469-2447
Mailing address
PO BOX 223586, WEST PALM BEACH, FL 33422-3586
(561) 557-2741
(561) 469-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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