Riverside Counseling, LLC

NPI #1003595448 in Rockford, Michigan

Provider Information

NPI Number: 1003595448
Entity Type: Organization
Organization Name: Riverside Counseling, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 13, 2023
Last Updated: Jul 13, 2023

Practice Location

Address: 8618 BROWER LAKE DR NE
City: Rockford
State: Michigan
ZIP Code: 49341-8320
Phone: (989) 274-7219

Authorized Official

Name: DR. BONNIE J DYKSTRA, PH.D
Title: CLINICAL PSYCHOLOGIST
Phone: (989) 274-7219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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