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Organization

REVELATION OF HOPE COUNSELING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVIN G. BONDS II (OWNER & CLINICAL DIRECTOR)
(731) 868-7297
Entity
Organization

Contact information

Practice address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 868-7297
(877) 273-4824
Mailing address
PO BOX 934, HUMBOLDT, TN 38343-0934
(731) 487-3595
(877) 273-4824

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2865
TN
101YP2500X
Professional Counselor
2865
TN
106H00000X
Marriage & Family Therapist
990
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q006062
TN
Enumeration date
07/02/2014
Last updated
06/22/2022
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