Organization
RISE COUNSELING & WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA O'NEIL LCPC NCC (OWNER)
(301) 778-5900
Entity
Organization
Contact information
Practice address
1140 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(013) 778-5900
Mailing address
1140 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 778-5900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999746600
—
MD
Enumeration date
06/16/2021
Last updated
06/02/2023
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