Riverside Counseling, Llc | |
8618 Brower Lake Dr Ne Rockford MI 49341-8320 | |
(989) 274-7219 | |
Not Available |
Full Name | Riverside Counseling, Llc |
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Speciality | Psychologist - Clinical |
Location | 8618 Brower Lake Dr Ne, Rockford, Michigan |
Authorized Official Name and Position | Bonnie J Dykstra (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 9892747219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Riverside Counseling, Llc 8618 Brower Lake Dr Ne Rockford MI 49341-8320 Ph: (989) 274-7219 | Riverside Counseling, Llc 8618 Brower Lake Dr Ne Rockford MI 49341-8320 Ph: (989) 274-7219 |
NPI Number | 1003595448 |
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Provider Enumeration Date | 07/13/2023 |
Last Update Date | 07/13/2023 |
Certification Date | 07/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003595448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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