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Organization
FAMILY RESTORATION & EMPOWERMENT ENTERPRISES
Active
Organization
FAMILY RESTORATION & EMPOWERMENT ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE RENEE JORDAN LMHC (DIRECTOR)
(253) 365-3964
Entity
Organization
Contact information
Practice address
1554 S GRANT AVE, TACOMA, WA 98405-3250
(253) 365-3964
Mailing address
2615 19TH STREET PL SW, PUYALLUP, WA 98373-3953
(253) 365-3964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60806253
WA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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