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1821766320
REVIVAL COUNSELING LLC
PENDLETON, IN
NPI
1821766320
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Entity Type
Organization
Authorized Contact
KAYLEE DURNELL
Owner/Therapist
814-282-5489
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2021-08-31
Last Update Date
2022-11-10
Business Address
REVIVAL COUNSELING LLC
7264 S WOODROW DR
PENDLETON, IN 46064-9102
Phone number: 814-282-5489
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Mailing Address
REVIVAL COUNSELING LLC
7264 S WOODROW DR
PENDLETON, IN 46064-9102
Phone number: 814-282-5489
Copy
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