Organization
RESTORATIVE COUNSELING & CONSULTATION, A CLINICAL SOCIAL WORK CORPORAT
Active
Other names
RCC Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE NICHOLAS LCSW (OWNER)
(510) 329-8463
Entity
Organization
Contact information
Practice address
4126 TELEGRAPH AVE., OAKLAND, CA 94609-9460
(510) 686-3116
(877) 346-7602
Mailing address
3022 73RD AVE, OAKLAND, CA 94605-2541
(510) 329-8463
(877) 346-7602
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134164726
INDIVIDUAL
CA
Enumeration date
02/18/2020
Last updated
02/18/2020
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