Organization
FAMILY RESTORATION COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER LANCE GARDNER LPC (COUNSELOR / CO-OWNER)
(214) 265-1777
Entity
Organization
Contact information
Practice address
8340 MEADOW RD, STE 134, DALLAS, TX 75231-3769
(214) 265-1777
Mailing address
8340 MEADOW RD, STE 134, DALLAS, TX 75231-3769
(214) 265-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16490
TX
101YM0800X
Mental Health Counselor
17575
TX
Other
Enumeration date
01/06/2012
Last updated
02/02/2012
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