| Root To Rise Counseling And Consulting Pllc | |
|
970 West Broadway Avenue, Suite 212b3 Jackson WY 83001 | |
| (208) 243-8507 | |
| (307) 460-7416 |
| Full Name | Root To Rise Counseling And Consulting Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 970 West Broadway Avenue, Suite 212b3, Jackson, Wyoming |
| Authorized Official Name and Position | Megan Elizabeth O'brien (OWNER/OPERATOR) |
| Authorized Official Contact | 8018715468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root To Rise Counseling And Consulting Pllc 177 N H St Salt Lake City UT 84103-2978 Ph: (801) 871-5468 | Root To Rise Counseling And Consulting Pllc 970 West Broadway Avenue, Suite 212b3 Jackson WY 83001 Ph: (208) 243-8507 |
| NPI Number | 1073027280 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073027280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 36976 (Idaho) | Primary |
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