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Phoenix Rising Llc
Professional Counselor in Fond Du Lac, Wisconsin
NPI 1356794788

Phoenix Rising Llc is a Professional Counselor based in Fond Du Lac, WI and is specialized in Professional. Phoenix Rising Llc practices in Fond Du Lac, WI. The NPI Number for Phoenix Rising Llc is 1356794788 and holds a License No. 6151-125 (Wisconsin).

The current practice location address for Phoenix Rising Llc is N7640 County Road Wh Ste 200, Fond Du Lac, WI and can be reached out via phone at 920-933-3736.

Location: N7640 County Road Wh Ste 200, Fond Du Lac, WI, 54937-7832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356794788
Provider Name
Phoenix Rising Llc
Credential
Provider Entity Type
Organization
Address
N7640 County Road Wh Ste 200, Fond Du Lac, WI, 54937-7832
Phone Number
920-933-3736
Fax Number
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N7640 County Road Wh Ste 200
City
Fond Du Lac
State
Wisconsin
Zip
54937-7832
Phone Number
920-933-3736
Fax Number
person
Provider Business Mailing Address Details
Address
N7640 County Road Wh Ste 200
City
Fond Du Lac
State
Wisconsin
Zip
54937-7832
Phone Number
920-933-3736
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6151-125 (Wisconsin)
Definition
Definition to come...
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