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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