| Restoring Roots Counseling Services, Llc | |
|
9120 Santayana Dr Fairfax VA 22031-3062 | |
| (209) 769-5610 | |
| Not Available |
| Full Name | Restoring Roots Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9120 Santayana Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Heidi Tucker (MANAGER) |
| Authorized Official Contact | 2097695610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Roots Counseling Services, Llc 9120 Santayana Dr Fairfax VA 22031-3062 Ph: (209) 769-5610 | Restoring Roots Counseling Services, Llc 9120 Santayana Dr Fairfax VA 22031-3062 Ph: (209) 769-5610 |
| NPI Number | 1760189609 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760189609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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