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Organization
RISING STRONG COUNSELING LLC
Active
Organization
RISING STRONG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA N ROOSEVELT LCSW (OWNER)
(812) 822-5967
Entity
Organization
Contact information
Practice address
401 SE 6TH ST STE 110H, EVANSVILLE, IN 47713-1215
(812) 822-5967
Mailing address
401 SE 6TH ST STE 110H, EVANSVILLE, IN 47713-1215
(812) 822-5967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149023472
STATE OF ILLINOIS
IL
01
—
34009242A
STATE OF INDIANA
IN
Enumeration date
08/31/2021
Last updated
08/31/2021
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