| Riverside Counseling Llc | |
|
2210 E La Salle St Colorado Springs CO 80909-2303 | |
| (719) 232-1868 | |
| Not Available |
| Full Name | Riverside Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2210 E La Salle St, Colorado Springs, Colorado |
| Authorized Official Name and Position | James Matthew Reed (OWNER / THERAPIST) |
| Authorized Official Contact | 7192321868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Counseling Llc 205 W Brookside St Colorado Springs CO 80905-2105 Ph: (719) 232-1868 | Riverside Counseling Llc 2210 E La Salle St Colorado Springs CO 80909-2303 Ph: (719) 232-1868 |
| NPI Number | 1730719774 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730719774 | NPI | - | NPPES |
| LPC.0004580 | Other | CO | DORA |
| ACD.0000937 | Other | CO | DORA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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