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NPI 1245852375 · live from the CMS NPI Registry

Restoration Family Therapy, L.L.C.

Marriage & Family Therapist in Chugiak, AK. National Provider Identifier 1245852375, active.

NPI record

NPI1245852375 Type 2 · organization
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location23554 Blue Skies Dr, Chugiak, AK 99567
Practice phone907-726-3572
Mailing addressPo Box 670813, Chugiak, AK 99567
EnumeratedMay 12, 2020
Last updatedMay 17, 2020
Authorized officialJocelyn Doremus, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.