| Restored Wellness Counseilng | |
|
8788 Elk Grove Blvd Ste D Elk Grove CA 95624-1767 | |
| (916) 400-0505 | |
| (916) 848-0511 |
| Full Name | Restored Wellness Counseilng |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8788 Elk Grove Blvd Ste D, Elk Grove, California |
| Authorized Official Name and Position | Wynetta Martin (CEO) |
| Authorized Official Contact | 9164000505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Wellness Counseilng 8788 Elk Grove Blvd Ste D Elk Grove CA 95624-1767 Ph: (916) 400-0505 | Restored Wellness Counseilng 8788 Elk Grove Blvd Ste D Elk Grove CA 95624-1767 Ph: (916) 400-0505 |
| NPI Number | 1578104329 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578104329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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