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Patrick John Revello, MA,LPC
Professional Counselor in Sparta, New Jersey
NPI 1245580976

Patrick John Revello is a Professional Counselor based in Sparta, NJ and is specialized in Professional. Patrick John Revello practices in Sparta, NJ and has the professional credentials of MA,LPC. The NPI Number for Patrick John Revello is 1245580976 and holds a License No. (New Jersey).

The current practice location address for Patrick John Revello is 14 Main St, Sparta, NJ and can be reached out via phone at 201-498-9140.

Location: 14 Main St, Sparta, NJ, 07871-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245580976
Provider Name
Patrick John Revello
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
14 Main St, Sparta, NJ, 07871-1948
Phone Number
201-498-9140
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0023701 01 NJ AGENCY PROVIDER #
7794703 01 NJ AGENCY PROGRAM PROVIDER #
institution
Provider Business Practice Location Address Details
Address
14 Main St
City
Sparta
State
New Jersey
Zip
07871-1948
Phone Number
201-498-9140
Fax Number
person
Provider Business Mailing Address Details
Address
14 Main St
City
Sparta
State
New Jersey
Zip
07871-1948
Phone Number
201-498-9140
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37PC00601200 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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