Organization
RESTORATION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT BERNARD GIBSON (OWNER)
(813) 948-9922
Entity
Organization
Contact information
Practice address
262 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 948-9922
Mailing address
262 CRYSTAL GROVE BLVD, LUTZ, FL 33548
(813) 948-9922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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