Rising Tides Counseling, Llc | |
12727 64th Ave Pleasant Prairie WI 53158-3655 | |
(262) 909-6253 | |
Not Available |
Full Name | Rising Tides Counseling, Llc |
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Speciality | Counselor - Professional |
Location | 12727 64th Ave, Pleasant Prairie, Wisconsin |
Authorized Official Name and Position | Marvin Abac Valdez (OWNER/THERAPIST) |
Authorized Official Contact | 2629096253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rising Tides Counseling, Llc 12727 64th Ave Pleasant Prairie WI 53158-3655 Ph: (262) 909-6253 | Rising Tides Counseling, Llc 12727 64th Ave Pleasant Prairie WI 53158-3655 Ph: (262) 909-6253 |
NPI Number | 1699500611 |
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Provider Enumeration Date | 09/09/2024 |
Last Update Date | 09/09/2024 |
Certification Date | 09/08/2024 |
Identifier | Type | State | Issuer |
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1699500611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Jkey Counseling And Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9130 83rd St Apt 133, Pleasant Prairie, WI 53158 Phone: 262-327-7452 |