Organization · Type 2 NPI
Restore Counseling and Consulting Services
Professional Counselor · Jackson, MS
NPI number
1912452095
Active
Practice location
4500 I 55 N Ste 223
Jackson, MS 39211-5931
Fax (601) 398-9493
Mailing address
4500 I 55 N Ste 220
Jackson, MS 39211-5931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1912452095
Restore Counseling and Consulting Services's National Provider Identifier is 1912452095, issued on Aug 18, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Nov 13, 2020.