| Riverside Counseling, Inc | |
|
408 E Montana Ave Coeur D Alene ID 83814-3051 | |
| (208) 667-3515 | |
| (208) 667-1304 |
| Full Name | Riverside Counseling, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 408 E Montana Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Blake Poe (PRESIDENT) |
| Authorized Official Contact | 2086673515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Counseling, Inc 408 E Montana Ave Coeur D Alene ID 83814-3051 Ph: (208) 667-3515 | Riverside Counseling, Inc 408 E Montana Ave Coeur D Alene ID 83814-3051 Ph: (208) 667-3515 |
| NPI Number | 1699110353 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699110353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC3277 (Idaho) | Primary |
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