Riverwood Counseling, LLC
Social Worker, Clinical in Coeur D Alene, ID. Organization (NPI-2).
NPI number1639192552
StatusActive
Last updated in NPPESJul 26, 2012
Details
- NPI
- 1639192552
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverwood Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Jul 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2003 Kootenai Health WaySte 310
Coeur D Alene, ID 83814-6051
Phone 208-765-4795 · Fax 208-765-2903
Mailing address
Po Box 478Coeur D Alene, ID 83816-0478
Authorized official
Patty Bullick
Owner
2087654795
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