Organization · Type 2 NPI

Rising Phoenix Counseling Services, LLC

Mental Health Counselor · Medford, OR

NPI number 1164952164 Active

Practice location

810 E Jackson St
Medford, OR 97504-6773

Call (541) 500-7111 Map

Fax (541) 507-9118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Registered Dietitian 133V00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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About NPI 1164952164

Rising Phoenix Counseling Services, LLC's National Provider Identifier is 1164952164, issued on Jun 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Mar 26, 2024.