| Arise Lcsw | |
|
4113 Scotts Valley Dr Scotts Valley CA 95066-4547 | |
| (831) 429-2288 | |
| Not Available |
| Full Name | Arise Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4113 Scotts Valley Dr, Scotts Valley, California |
| Authorized Official Name and Position | Carol Pruitt (PRESIDENT) |
| Authorized Official Contact | 8314292288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Lcsw Po Box 4161 Santa Cruz CA 95063-4161 Ph: () - | Arise Lcsw 4113 Scotts Valley Dr Scotts Valley CA 95066-4547 Ph: (831) 429-2288 |
| NPI Number | 1255844858 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255844858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23001 (California) | Primary |
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