Organization
REVIVE COUNSELING AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA L. FORD PH.D., LPC (CO-OWNER)
(609) 402-6920
Entity
Organization
Contact information
Practice address
102 JEFFERSON AVE, EGG HARBOR TWP, NJ 08234-9739
(609) 402-6920
Mailing address
PO BOX 1536, PLEASANTVILLE, NJ 08232-6536
(609) 402-6920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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