MR. WARDELL GROSS JR. RC
NPI 1205397312
Counselor - Mental Health in Browns Mills, NJ
Active since March 29, 2019
About Mr. Wardell Gross Jr. Rc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WARDELL GROSS JR. RC (NPI 1205397312) is an individual mental health provider in Browns Mills, New Jersey and active in the NPI registry since March 2019.
NPPES Registry Identity
NPI1205397312
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WARDELL GROSS JR.Credential: RC
Location Address420 LAKEHURST RDBrowns Mills, NJ 08015-6054
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 893-3450 · Fax (609) 893-3442
Phone(609) 893-3450
Fax(609) 893-3442
Sole ProprietorYes
Enumeration DateMarch 29, 2019
✔ NPI 1205397312 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
420 LAKEHURST RD, Browns Mills, NJ 08015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205397312, enumerated as an "individual" on March 29, 2019.
The provider is located at 420 LAKEHURST RD BROWNS MILLS, NJ 08015 and the phone number is (609) 893-3450.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
