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Organization
RESTORATION FAMILY COUNSELING
Active
Organization
RESTORATION FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE LOCKROW RUSSELL LCSW (OWNER)
(919) 589-2955
Entity
Organization
Contact information
Practice address
6512 SIX FORKS RD STE 505, RALEIGH, NC 27615-6527
(919) 589-2955
Mailing address
3306 MALIBU DR, RALEIGH, NC 27607-6504
(919) 589-2955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063848471
INDIVIDUAL NPI
NC
Enumeration date
05/13/2016
Last updated
04/01/2024
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