Revitalize Counseling Services LLC
NPI #1184132094 in Manchester, New Jersey
Provider Information
- NPI Number
- 1184132094
- Entity Type
- Organization
- Organization Name
- Revitalize Counseling Services LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 12, 2018
- Last Updated
- Jan 12, 2018
Practice Location
- Address
- 2401 WOODLAND RD
- City
- Manchester
- State
- New Jersey
- ZIP Code
- 08759-6135
- Phone
- (848) 459-5943
Authorized Official
- Name
- MRS. DANA M GIBILISCO, MS, LPC, NCC
- Title
- CEO
- Phone
- (848) 459-5943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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