Individual provider · Type 1 NPI

Amanda Revilak, LPC

Professional Counselor · Jackson, NJ

NPI number 1801511654 Active

Practice location

4 Marc Alton Ct
Jackson, NJ 08527-4338

Call (908) 415-7636 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00433700 (NJ)

Professional Counselor: Definition to come...

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About NPI 1801511654

Amanda Revilak, LPC's National Provider Identifier is 1801511654, issued on Oct 4, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, NJ. The record was last updated on Oct 4, 2022.