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General NPI Number Information
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NPI Number | 1659031094
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Entity Type | Organization
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Legal Business Name | RISE COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 213 E MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-5701
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Country | US
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Telephone | 319-224-0722
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Fax | 877-728-2951
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Provider Business Mailing Address
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Address Line | 213 E MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-5701
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Country | US
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Telephone | 319-224-0722
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Fax | 877-728-2951
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA ANN PAULSEN OBERBRECKLING
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Credential | MA, LMFT, RPT-S
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Telephone | 319-224-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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