Organization
PHOENIX RISING INTERVENTION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE LYNN DUBEA M.ED, LPC (CEO)
(636) 295-6672
Entity
Organization
Contact information
Practice address
690 S LINCOLN DR, TROY, MO 63379-2808
(636) 295-6672
Mailing address
140 WESTBOROUGH DR, TROY, MO 63379-4453
(636) 295-6672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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