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Organization

REVELATIONS COUNSELING & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA JO SOLLEY (COO)
(540) 446-3978
Entity
Organization

Contact information

Practice address
1380 CENTRAL PARK BLVD STE 205, FREDERICKSBURG, VA 22401-4926
(540) 602-2545
(540) 602-2542
Mailing address
1380 CENTRAL PARK BLVD STE 205, FREDERICKSBURG, VA 22401-4926
(540) 602-2545
(540) 602-2542

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007474
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0904007474
VA
Enumeration date
08/22/2011
Last updated
03/21/2024
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