Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA REVILAK, LPC
Active Sole ProprietorAMANDA REVILAK, LPC is a Professional Counselor healthcare provider located in JACKSON, New Jersey. NPI 1801511654 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · JACKSON, NJ
Registration Details
- NPI Number
- 1801511654
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2022 (3.8364012446548 yrs)
- Last Updated
- Oct 4, 2022
- License
-
37PC00433700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 MARC ALTON CTJACKSON, NJ, 085274338Browse NJ providers · Browse ZIP 08527
- Phone
- 9084157636
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in JACKSON, NJ
| Name | Credential | NPI |
|---|---|---|
| DIANE MOUNTZOURIS | LCADC, LPC | 1982966321 |
| CHRISTINA A RALLO DANIELS | MS, LPC | 1669831681 |
| NICOLE PANZA KANIA | LPC | 1164981775 |
| AMELIA SOWLES | LPC | 1518420041 |
| MARC WAX | LPC | 1376185728 |
| GINA ZIPPO-MAZUR | — | 1508442690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.