# RISE ABOVE FORENSICS BEHAVIORAL ASSESSMENT AND COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811523202
- **Authorized official:** JOHN H SELIN (MANAGING MEMBER)
- **Authorized official phone:** (801) 710-2440

## Contact information

- **Practice address:** 339 E 3900 S STE 230A, SALT LAKE CITY, UT 84107-2437
- **Practice address phone:** (801) 710-2440
- **Mailing address:** 339 E 3900 S STE 230A, SALT LAKE CITY, UT 84107-2437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 03/17/2020