Organization
RISING MOON THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA TESO (PRESIDENT)
(520) 528-6534
Entity
Organization
Contact information
Practice address
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711-3558
(520) 528-6534
Mailing address
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711-3558
(520) 528-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/11/2019
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