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NPI 1396299533

NPI 1396299533 : RISING SUN COUNSELING SERVICES LLC : BURLINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1396299533
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISING SUN COUNSELING SERVICES LLC 
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Dates
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    Enumeration Date     |    08/04/2016
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    54 RIDGEWOOD WAY 
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    City                 |    BURLINGTON
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    State                |    NJ
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    Zip                  |    08016-4266
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    Country              |    US
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    Telephone            |    609-902-0636
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    Fax                  |    609-474-6763
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Provider Business Mailing Address
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    Address Line         |    54 RIDGEWOOD WAY 
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    City                 |    BURLINGTON
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    State                |    NJ
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    Zip                  |    08016-4266
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    Country              |    US
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    Telephone            |    609-902-0636
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    Fax                  |    609-614-2726
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Authorized Official
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    Title or Position    |    SOLE OWNER
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    Name                 |     JULIE  DELUCCY 
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    Credential           |    LCSW, LCADC
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    Telephone            |    609-902-0636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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