Organization
RESTORATION TRAUMA AND COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL DEWALT (CEO)
(540) 671-6648
Entity
Organization
Contact information
Practice address
117 MONTGOMERY CIR, STEPHENS CITY, VA 22655-5905
(540) 671-6648
Mailing address
117 MONTGOMERY CIR, STEPHENS CITY, VA 22655-5905
(540) 671-6648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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