Organization
RESTORATION COUNSELING & CONSULTATION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW GALLAGHER LCPC (PRESIDENT)
(316) 272-5502
Entity
Organization
Contact information
Practice address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 462-5640
Mailing address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 462-5640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063656023
—
KS
Enumeration date
01/10/2019
Last updated
01/10/2019
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