| Restoration Therapy & Counseling, Pllc | |
|
1531 32nd Ave S Ste 102 Fargo ND 58103-5911 | |
| (701) 951-8512 | |
| Not Available |
| Full Name | Restoration Therapy & Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1531 32nd Ave S Ste 102, Fargo, North Dakota |
| Authorized Official Name and Position | Lukas Eisen (OWNER) |
| Authorized Official Contact | 7019518512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Therapy & Counseling, Pllc 1531 32nd Ave S Ste 102 Fargo ND 58103-5911 Ph: (701) 951-8512 | Restoration Therapy & Counseling, Pllc 1531 32nd Ave S Ste 102 Fargo ND 58103-5911 Ph: (701) 951-8512 |
| NPI Number | 1386471167 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386471167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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