| Rise Above Forensics Behavioral Assessment And Counseling Llc | |
|
339 E 3900 S Ste 230a Salt Lake City UT 84107-2437 | |
| (801) 710-2440 | |
| Not Available |
| Full Name | Rise Above Forensics Behavioral Assessment And Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 339 E 3900 S Ste 230a, Salt Lake City, Utah |
| Authorized Official Name and Position | John H Selin (MANAGING MEMBER) |
| Authorized Official Contact | 8017102440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Above Forensics Behavioral Assessment And Counseling Llc 339 E 3900 S Ste 230a Salt Lake City UT 84107-2437 Ph: () - | Rise Above Forensics Behavioral Assessment And Counseling Llc 339 E 3900 S Ste 230a Salt Lake City UT 84107-2437 Ph: (801) 710-2440 |
| NPI Number | 1811523202 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811523202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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