Organization
RISING PHOENIX PSYCHOTHERAPY & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER R DEIULIO MSW, LICSW (OWNER)
(978) 594-0762
Entity
Organization
Contact information
Practice address
27 CONGRESS ST STE 205-14, SALEM, MA 01970-5595
(978) 594-0762
(844) 666-7395
Mailing address
27 CONGRESS ST STE 205-14, SALEM, MA 01970-5595
(978) 594-0762
(844) 666-7395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110153
MA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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