| Riverfront Therapy Llc | |
|
120 W Front St Suite B Washington MO 63090-2151 | |
| (636) 667-9292 | |
| Not Available |
| Full Name | Riverfront Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 120 W Front St, Washington, Missouri |
| Authorized Official Name and Position | Jodi Fortner (OWNER) |
| Authorized Official Contact | 6366679292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverfront Therapy Llc 1323 Jasper Ln Washington MO 63090-4148 Ph: (636) 667-9292 | Riverfront Therapy Llc 120 W Front St Suite B Washington MO 63090-2151 Ph: (636) 667-9292 |
| NPI Number | 1447643820 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447643820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2010013715 (Missouri) | Primary |
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