Individual
JOHN P RISLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3840123
WI
103TC0700X
Clinical Psychologist
7561
MN
1041C0700X
Clinical Social Worker
Primary
3840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118042
U CARE
MN
05
—
43707800
—
WI
01
—
5H180RI
BCBS
MN
Enumeration date
11/16/2005
Last updated
09/11/2025
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