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Organization
PHOENIX RISING THERAPY
Active
Organization
PHOENIX RISING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SCARMARDO LCPC (OWNER)
(847) 796-0544
Entity
Organization
Contact information
Practice address
8600 US HIGHWAY 14 # 220C, CRYSTAL LAKE, IL 60012-2706
(847) 796-0544
Mailing address
8600 US HIGHWAY 14 # 220C, CRYSTAL LAKE, IL 60012-2706
(847) 796-0544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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