| Restorative Balance Counseling And Consulting, Llc | |
|
12328 Granada Way Woodbridge VA 22192-6290 | |
| (240) 222-2961 | |
| Not Available |
| Full Name | Restorative Balance Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12328 Granada Way, Woodbridge, Virginia |
| Authorized Official Name and Position | Octavia Haughton (DIRECTOR) |
| Authorized Official Contact | 2402222961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Balance Counseling And Consulting, Llc 12328 Granada Way Woodbridge VA 22192-6290 Ph: () - | Restorative Balance Counseling And Consulting, Llc 12328 Granada Way Woodbridge VA 22192-6290 Ph: (240) 222-2961 |
| NPI Number | 1376145011 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376145011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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