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Organization
URBAN RESTORATION COUNSELING CENTER
Active
Organization
URBAN RESTORATION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELLE D. JOHNSON LMFT (CO-FOUNDER)
(619) 343-9543
Entity
Organization
Contact information
Practice address
1925 EUCLID AVE STE 108, SAN DIEGO, CA 92105-5362
(619) 648-1158
Mailing address
1925 EUCLID AVE STE 108, SAN DIEGO, CA 92105-5362
(619) 648-1158
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
05/07/2026
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