Rebecca Lynn Justice
Individual provider Active NPI Counselor · Gibbstown, NJ
NPI 1972878734 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1972878734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 162 E Broad St
Gibbstown, NJ 08027-1476 - Phone
- (856) 417-2932
- NPI assigned
- Mar 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00540900 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Counseling Services LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes | ||
| Professional Counselor | 101YP2500X | 37PC00540900 | NJ |
Addresses
Primary practice location
162 E Broad St
Gibbstown, NJ 08027-1476
Mailing address
2600 W 9TH St
Chester, PA 19013-2040
Phone (610) 497-7693
Other providers in Gibbstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.