Organization
RENEW WELLNESS & PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SIMON ASAYAG LCSW, ACSW, CAADC (PARTNER)
(484) 725-0072
Entity
Organization
Contact information
Practice address
641 N 13TH ST STE E-101, EASTON, PA 18042-1430
(484) 725-0072
Mailing address
215 W. LAFAYETTE ST, EASTON, PA 18042
(484) 725-0072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
03/03/2022
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