| Restore Counseling And Consulting Services | |
|
4500 I 55 N Ste 223 Jackson MS 39211-5931 | |
| (601) 214-7464 | |
| (601) 398-9493 |
| Full Name | Restore Counseling And Consulting Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4500 I 55 N Ste 223, Jackson, Mississippi |
| Authorized Official Name and Position | Shandra Wilson (OWNER) |
| Authorized Official Contact | 6012147464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Counseling And Consulting Services 4500 I 55 N Ste 220 Jackson MS 39211-5931 Ph: (601) 214-7464 | Restore Counseling And Consulting Services 4500 I 55 N Ste 223 Jackson MS 39211-5931 Ph: (601) 214-7464 |
| NPI Number | 1912452095 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912452095 | NPI | - | NPPES |
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