Organization
RESTORING ROOTS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TUCKER LMFT (MANAGER)
(209) 769-5610
Entity
Organization
Contact information
Practice address
9120 SANTAYANA DR, FAIRFAX, VA 22031-3062
(209) 769-5610
Mailing address
9120 SANTAYANA DR, FAIRFAX, VA 22031-3062
(209) 769-5610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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