Organization
RISING TIDES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ABAC VALDEZ LPC (OWNER/THERAPIST)
(262) 909-6253
Entity
Organization
Contact information
Practice address
12727 64TH AVE, PLEASANT PRAIRIE, WI 53158-3655
(262) 909-6253
Mailing address
12727 64TH AVE, PLEASANT PRAIRIE, WI 53158-3655
(262) 909-6253
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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