Organization
RESTORATION FAMILY THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN GAVIN DOREMUS LMFT (OWNER)
(907) 726-3572
Entity
Organization
Contact information
Practice address
23554 BLUE SKIES DR, CHUGIAK, AK 99567-5640
(907) 726-3572
Mailing address
PO BOX 670813, CHUGIAK, AK 99567-0813
(907) 726-3572
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/17/2020
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