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General NPI Number Information
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NPI Number | 1831704204
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Entity Type | Organization
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Legal Business Name | RISING HOPE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/12/2020
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Last Update Date | 09/12/2020
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Provider Practice Location Address
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Address Line | 104 9TH AVE S # 5A
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City | NAMPA
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State | ID
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Zip | 83651-3809
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Country | US
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Telephone | 208-957-7955
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Fax | 208-957-6961
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Provider Business Mailing Address
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Address Line | 16751 OLD FRIENDSHIP WAY
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City | CALDWELL
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State | ID
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Zip | 83607-1453
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Country | US
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Telephone | 208-957-7955
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Fax | 208-957-6961
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Authorized Official
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Title or Position | CLINICIAN/ OWNER
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Name | MRS. ESTELLA R ACOSTA FURLOTT
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Credential | LMFT
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Telephone | 208-957-7955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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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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