Individual provider · Type 1 NPI

Wardell Gross Jr., RC

Mental Health Counselor · Browns Mills, NJ

NPI number 1205397312 Active

Practice location

420 Lakehurst Rd
Browns Mills, NJ 08015-6054

Fax (609) 893-3442

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1205397312

Wardell Gross Jr., RC's National Provider Identifier is 1205397312, issued on Mar 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Browns Mills, NJ. The record was last updated on Mar 29, 2019.