Individual provider · Type 1 NPI

Markim Shakur-Purvis

Professional Counselor · Newark, NJ

NPI number 1407577901 Active

Practice location

183 S Orange Ave
Newark, NJ 07103-2757

Call (973) 972-0478 Map

Mailing address

201A Buckingham Dr
Lakewood, NJ 08701-7806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00160000 (NJ)
Professional Counselor Primary 101YP2500X37PC00471600 (NJ)

Professional Counselor: Definition to come...

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About NPI 1407577901

Markim Shakur-Purvis's National Provider Identifier is 1407577901, issued on Sep 5, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newark, NJ. The record was last updated on Sep 5, 2022.