Mr. Wardell Gross Jr., RC
Counselor, Mental Health in Browns Mills, New Jersey
1205397312- Practice location
- 420 Lakehurst RD, Browns Mills, NJ 08015-6054
- Phone
- 609-893-3450
- Fax
- 609-893-3442
- Last updated
- March 29, 2019
Wardell Gross is a Counselor, Mental Health based in Browns Mills, NJ. Wardell Gross practices in Browns Mills, NJ and has the professional credentials of RC. The NPI Number for Wardell Gross is 1205397312. The current practice location address for Wardell Gross is 420 Lakehurst RD, Browns Mills, NJ 08015-6054 and can be reached out via phone at 609-893-3450 and via fax at 609-893-3442.
Provider Profile Details
- NPI Number
- 1205397312
- Provider Name
- Wardell Gross
- Credential
- RC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 420 Lakehurst RD, Browns Mills, NJ 08015-6054
- Phone Number
- 609-893-3450
- Fax Number
- 609-893-3442
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 29, 2019
- Last Update Date
- March 29, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Lakehurst RD
Browns Mills, NJ 08015-6054 - City
- Browns Mills
- State
- New Jersey
- Zip
- 08015-6054
- Phone Number
- 609-893-3450
- Fax Number
- 609-893-3442
Provider Business Mailing Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- NJ
- Zip
- 08060-3804
- Phone Number
- 609-893-3450
- Fax Number
- 609-893-3442
License Information
- License State (1)
- NY
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Browns Mills, NJ
View all Counselor, Mental Health providers in Browns Mills →Frequently Asked Questions
What is the NPI number of Mr. Wardell Gross Jr., RC?
The NPI number of Mr. Wardell Gross Jr., RC is 1205397312. It was assigned on March 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Wardell Gross Jr., RC?
Mr. Wardell Gross Jr., RC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. Wardell Gross Jr., RC practice?
The practice location is 420 Lakehurst RD, Browns Mills, NJ 08015-6054. The office can be reached at 609-893-3450 (phone) or 609-893-3442 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205397312 directly on the NPPES registry website.