Provider Demographics
NPI:1598081309
Name:RESTORATION COUNSELING SERVICES
Entity Type:Organization
Organization Name:RESTORATION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:GILE
Authorized Official - Last Name:MCFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:206-533-9984
Mailing Address - Street 1:1900 N 175TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5104
Mailing Address - Country:US
Mailing Address - Phone:206-533-9984
Mailing Address - Fax:206-546-8948
Practice Address - Street 1:1900 N 175TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5104
Practice Address - Country:US
Practice Address - Phone:206-533-9984
Practice Address - Fax:206-546-8948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY3104251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health