| Rising Phoenix Psychotherapy & Consulting | |
|
27 Congress St Ste 205-14 Salem MA 01970-5595 | |
| (978) 594-0762 | |
| (844) 666-7395 |
| Full Name | Rising Phoenix Psychotherapy & Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 27 Congress St Ste 205-14, Salem, Massachusetts |
| Authorized Official Name and Position | Christopher R Deiulio (OWNER) |
| Authorized Official Contact | 9785940762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Psychotherapy & Consulting 27 Congress St Ste 205-14 Salem MA 01970-5595 Ph: (978) 594-0762 | Rising Phoenix Psychotherapy & Consulting 27 Congress St Ste 205-14 Salem MA 01970-5595 Ph: (978) 594-0762 |
| NPI Number | 1316436876 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316436876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 110153 (Massachusetts) | Primary |
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