Revive Counseling Associates
NPI #1821665191 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1821665191
- Entity Type
- Organization
- Organization Name
- Revive Counseling Associates
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 7, 2021
- Last Updated
- Aug 2, 2021
Practice Location
- Address
- 480 PIERCE ST STE 108
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5512
- Phone
- (570) 262-4788
Authorized Official
- Name
- BRIAN COOK, MS, NCC, LPC
- Title
- MEMBER
- Phone
- (570) 262-4788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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