Root To Rise Counseling And Consulting Pllc | |
970 West Broadway Avenue, Suite 212b3 Jackson WY 83001 | |
(208) 243-8507 | |
(307) 460-7416 |
Full Name | Root To Rise Counseling And Consulting Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 970 West Broadway Avenue, Suite 212b3, Jackson, Wyoming |
Authorized Official Name and Position | Megan Elizabeth O'brien (OWNER/OPERATOR) |
Authorized Official Contact | 8018715468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Root To Rise Counseling And Consulting Pllc 177 N H St Salt Lake City UT 84103-2978 Ph: (801) 871-5468 | Root To Rise Counseling And Consulting Pllc 970 West Broadway Avenue, Suite 212b3 Jackson WY 83001 Ph: (208) 243-8507 |
NPI Number | 1073027280 |
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Provider Enumeration Date | 11/27/2017 |
Last Update Date | 03/22/2023 |
Certification Date | 03/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073027280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 36976 (Idaho) | Primary |
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