Risenhoover, Tera
Risenhoover, Tera is an individual health care provider with primary practice located at 2428 W Reynolds Ave , Centralia WA 98531-4554. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Risenhoover, Tera can be contacted via phone (360) 330-9044.Contact Information
Primary practice address
2428 W Reynolds Ave
Centralia WA 98531-4554
Phone: (360) 330-9044
Fax: (360) 736-3139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LW70024062 | Washington |
Profile Details
| NPI number | 1932633468 |
|---|---|
| LBN Legal business name | Risenhoover, Tera |
| Credentials | BA, AAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Mar 27th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932633468 | NPPES |
| Washington | MEDICAID | 2140768 |
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