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Organization

RESTORATION COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA JOHNSON LMHC (OWNER/DIRECTOR)
(239) 360-8986
Entity
Organization

Contact information

Practice address
1216 SW 4TH ST STE 5, CAPE CORAL, FL 33991-2129
(239) 360-8986
Mailing address
1216 SW 4TH ST STE 5, CAPE CORAL, FL 33991-2129
(239) 360-8986

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH14585
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295189579
INDIVIDUAL NPI
Enumeration date
06/26/2018
Last updated
06/26/2018
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