# COLLABORATIVE RESTORATION COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699102434
- **Authorized official:** MRS. LAURA JANELLE MCDERMOTT LMFT (FOUNDER/OWNDER)
- **Authorized official phone:** (612) 275-3517

## Contact information

- **Practice address:** 15252 W FREEWAY DR NE, SUITE 1, FOREST LAKE, MN 55025-8120
- **Practice address phone:** (612) 275-3517
- **Mailing address:** 7500 CAHILL RD, 216C, EDINA, MN 55439-2734
- **Mailing address phone:** (612) 275-3517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2619 | MN | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013