Organization
RESTORED COUNSELING LLC
Active
Other names
Restored Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BASHIOUM MS, LPC (PRESIDENT)
(417) 208-9840
Entity
Organization
Contact information
Practice address
4650 S NATIONAL AVE STE A4, SPRINGFIELD, MO 65810-2893
(417) 208-9840
Mailing address
4650 S NATIONAL AVE STE A4, SPRINGFIELD, MO 65810-2893
(417) 208-9840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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