| Restorative Counseling & Consultation, A Clinical Social Work Corporat | |
|
4126 Telegraph Ave. Oakland CA 94609-9460 | |
| (510) 686-3116 | |
| (877) 346-7602 |
| Full Name | Restorative Counseling & Consultation, A Clinical Social Work Corporat |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4126 Telegraph Ave., Oakland, California |
| Authorized Official Name and Position | Michelle Nicholas (OWNER) |
| Authorized Official Contact | 5103298463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Counseling & Consultation, A Clinical Social Work Corporat 3022 73rd Ave Oakland CA 94605-2541 Ph: (510) 329-8463 | Restorative Counseling & Consultation, A Clinical Social Work Corporat 4126 Telegraph Ave. Oakland CA 94609-9460 Ph: (510) 686-3116 |
| NPI Number | 1053944074 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053944074 | NPI | - | NPPES |
| 1134164726 | Other | CA | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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