| Restoration Counseling And Consulting Services Llc | |
|
6100 Seagull St Ne Ste B-205 Albuquerque NM 87109-2500 | |
| (254) 681-8015 | |
| Not Available |
| Full Name | Restoration Counseling And Consulting Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 6100 Seagull St Ne Ste B-205, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer J. Blount (OWNER) |
| Authorized Official Contact | 2546818015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Counseling And Consulting Services Llc Po Box 93754 Albuquerque NM 87199-3754 Ph: (254) 681-8015 | Restoration Counseling And Consulting Services Llc 6100 Seagull St Ne Ste B-205 Albuquerque NM 87109-2500 Ph: (254) 681-8015 |
| NPI Number | 1669132411 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 11/30/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 0840640819 |
|---|---|
| Medicare Enrollment ID | O20240103002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669132411 | NPI | - | NPPES |
| 51774381 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Blount |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144788191 PECOS PAC ID: 3870943830 Enrollment ID: I20240103002260 |
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