MARKIM SHAKUR-PURVIS

NEWARK, NJ
NPI1407577901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NJ  37PC00471600)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00160000)
Enumeration Date2022-09-05
Last Update Date2022-09-05
Business Address
MARKIM SHAKUR-PURVIS
183 S ORANGE AVE
NEWARK, NJ 07103-2757
Phone number: 973-972-0478
Mailing Address
MARKIM SHAKUR-PURVIS
201A BUCKINGHAM DR
LAKEWOOD, NJ 08701-7806
Phone number: 732-682-4343