Revilak, Amanda

Revilak, Amanda is an sole proprietor health care provider with primary practice located at 4 Marc Alton Ct , Jackson NJ 08527-4338. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Revilak, Amanda can be contacted via phone (908) 415-7636.

Contact Information

Primary practice address
4 Marc Alton Ct Jackson NJ 08527-4338
Phone: (908) 415-7636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00433700 New Jersey

Profile Details

NPI number 1801511654
LBN Legal business name Revilak, Amanda
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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