| Rising Moon Therapeutic Services Llc | |
|
4560 E Broadway Blvd Ste 223 Tucson AZ 85711-3558 | |
| (520) 528-6534 | |
| Not Available |
| Full Name | Rising Moon Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4560 E Broadway Blvd Ste 223, Tucson, Arizona |
| Authorized Official Name and Position | Jenna Teso (PRESIDENT) |
| Authorized Official Contact | 5205286534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Moon Therapeutic Services Llc 4560 E Broadway Blvd Ste 223 Tucson AZ 85711-3558 Ph: (520) 528-6534 | Rising Moon Therapeutic Services Llc 4560 E Broadway Blvd Ste 223 Tucson AZ 85711-3558 Ph: (520) 528-6534 |
| NPI Number | 1922567775 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922567775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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