Organization
STEP UP COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONDA TRIVISTA ALDRIDGE LCSW (THERAPIST)
(601) 826-0333
Entity
Organization
Contact information
Practice address
2628 SOUTHERLAND ST, SUITE D, JACKSON, MS 39216-4825
(601) 826-0333
Mailing address
2628 SOUTHERLAND ST, SUITE D, JACKSON, MS 39216-4825
(601) 826-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00682563
—
MS
Enumeration date
05/22/2012
Last updated
05/22/2012
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