Amanda Revilak, LPC
NPI #1801511654 in Jackson, New Jersey
Provider Information
- NPI Number
- 1801511654
- Entity Type
- Individual
- Name
- Amanda Revilak, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 4 MARC ALTON CT
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-4338
- Phone
- (908) 415-7636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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