Organization · Type 2 NPI
Phoenix Rising LLC
Professional Counselor · Fond Du Lac, WI
NPI number
1356794788
Active
Practice location
N7640 County Road Wh Ste 200
Fond Du Lac, WI 54937-7832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6151-125 (WI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Fond Du Lac
About NPI 1356794788
Phoenix Rising LLC's National Provider Identifier is 1356794788, issued on Jul 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fond Du Lac, WI. The record was last updated on Apr 7, 2017.