| Restoration Counseling | |
|
4980 W State St Boise ID 83703-3326 | |
| (208) 972-2732 | |
| Not Available |
| Full Name | Restoration Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4980 W State St, Boise, Idaho |
| Authorized Official Name and Position | Stephanie Baker (BUSINESS OWNER) |
| Authorized Official Contact | 2089722732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Counseling 4980 W State St Boise ID 83703-3326 Ph: (208) 972-2732 | Restoration Counseling 4980 W State St Boise ID 83703-3326 Ph: (208) 972-2732 |
| NPI Number | 1134532872 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134532872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC-5499 (Idaho) | Primary |
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