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Organization
PHOENIX RISING COUNSELING & RECOVERY SERVICES
Active
Organization
PHOENIX RISING COUNSELING & RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG ALLEN HEFFNER LCSW-R (PRESIDENT)
(315) 415-9795
Entity
Organization
Contact information
Practice address
49 OSWEGO ST, BALDWINSVILLE, NY 13027-2448
(315) 415-9795
Mailing address
49 OSWEGO ST, BALDWINSVILLE, NY 13027-2448
(315) 415-9795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R070522
NY
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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