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Organization
RISE EMBODIED INC
Active
Organization
RISE EMBODIED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BOND LPC (OWNER)
(512) 736-9088
Entity
Organization
Contact information
Practice address
18700 FM 1431 STE C, JONESTOWN, TX 78645-2415
(512) 736-9088
Mailing address
21528 PAINE AVE, LAGO VISTA, TX 78645-6755
(512) 736-9088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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