| Rise Up Psychological Services Llc | |
|
1100 Holstein Dr Ne Pine City MN 55063-1464 | |
| (320) 322-5122 | |
| (844) 990-4122 |
| Full Name | Rise Up Psychological Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1100 Holstein Dr Ne, Pine City, Minnesota |
| Authorized Official Name and Position | Lisa Nos-tollefson (OWNER) |
| Authorized Official Contact | 3203225122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up Psychological Services Llc 1100 Holstein Dr Ne Pine City MN 55063-1464 Ph: (320) 322-5122 | Rise Up Psychological Services Llc 1100 Holstein Dr Ne Pine City MN 55063-1464 Ph: (320) 322-5122 |
| NPI Number | 1588254163 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588254163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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