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Organization
RISE THERAPEUTIC SERVICES
Active
Organization
RISE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHRISTINE JOHNSON LCSW (OWNER)
(512) 910-2982
Entity
Organization
Contact information
Practice address
507 DENALI PASS STE 201, CEDAR PARK, TX 78613-7766
(512) 901-2982
Mailing address
4208 SHIRE, CEDAR PARK, TX 78613-7830
(773) 517-9114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58993
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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