Individual
TERA RISENHOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, AAC
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
1744 CAMDEN PL SW, OLYMPIA, WA 98512-5555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG 6071125
WA
104100000X
Social Worker
Primary
LW70024062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140768
—
WA
05
—
CG 60711255
—
WA
Enumeration date
04/11/2017
Last updated
03/27/2026
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