Organization
RESTORATION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BAKER M.S., LPC, NCC (BUSINESS OWNER)
(208) 972-2732
Entity
Organization
Contact information
Practice address
4980 W STATE ST, BOISE, ID 83703-3326
(208) 972-2732
Mailing address
4980 W STATE ST, BOISE, ID 83703-3326
(208) 972-2732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-5499
ID
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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