Organization
REVIVE AND RESTORE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI J CLANCY LCMHC, LCAS, CCS (OWNER)
(828) 550-0074
Entity
Organization
Contact information
Practice address
626 N MAIN ST, WAYNESVILLE, NC 28786-3820
(828) 550-0074
Mailing address
626 N MAIN ST, WAYNESVILLE, NC 28786-3820
(828) 550-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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