person
Markim Shakur-purvis
Professional Counselor in Newark, New Jersey
NPI 1407577901

Markim Shakur-purvis is a Professional Counselor based in Lakewood, NJ and is specialized in Professional. Markim Shakur-purvis practices in Newark, NJ. The NPI Number for Markim Shakur-purvis is 1407577901 and holds a License No. 37LC00160000 (New Jersey).

The current practice location address for Markim Shakur-purvis is 183 S Orange Ave, Newark, NJ and can be reached out via phone at 973-972-0478.

Location: 183 S Orange Ave, Newark, NJ, 08701-7806
person
Provider Profile Details
NPI Number
1407577901
Provider Name
Markim Shakur-purvis
Credential
Provider Entity Type
Individual
Gender
Male
Address
183 S Orange Ave, Newark, NJ, 08701-7806
Phone Number
973-972-0478
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
183 S Orange Ave
City
State
Zip
07103-2757
Phone Number
973-972-0478
Fax Number
person
Provider Business Mailing Address Details
Address
183 S Orange Ave
City
State
Zip
07103-2757
Phone Number
973-972-0478
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37PC00471600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37LC00160000 (New Jersey)
Definition
Definition to come...
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