Individual
MR. IVAN RESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
620 COURT ST FL 5, LYNCHBURG, VA 24504-1312
(434) 485-8861
(434) 485-8877
Mailing address
620 COURT ST FL 5, LYNCHBURG, VA 24504-1312
(434) 485-8861
(434) 485-8877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004928
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871542340
—
VA
Enumeration date
02/16/2011
Last updated
02/16/2011
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