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Organization
RESTORE COUNSELING & RECOVERY, INC.
Active
Organization
RESTORE COUNSELING & RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G MLODZIK LCSW LMFT CRADC (CEO)
(414) 324-9332
Entity
Organization
Contact information
Practice address
7399 FOREST HILLS RD, LOVES PARK, IL 61111-3974
(815) 708-7392
(815) 708-8248
Mailing address
7399 FOREST HILLS RD, LOVES PARK, IL 61111-3974
(815) 708-7392
(815) 708-8248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27402
IL
1041C0700X
Clinical Social Worker
Primary
149012902
IL
106H00000X
Marriage & Family Therapist
166000729
IL
Other
Enumeration date
12/11/2012
Last updated
08/18/2023
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