Organization
RISING PHOENIX COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE A LINTON-DUDLEY LPC, LMHC (MENTAL HEALTH CLINICIAN/DIRECTOR)
(179) 940-2879
Entity
Organization
Contact information
Practice address
377 VALLEY RD # 1250, CLIFTON, NJ 07013-1319
(917) 994-0287
Mailing address
377 VALLEY RD # 1250, CLIFTON, NJ 07013-1319
(917) 994-0287
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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