Integrative Counseling Services
NPI #1083826200 in Susanville, California
Provider Information
- NPI Number
- 1083826200
- Entity Type
- Organization
- Organization Name
- Integrative Counseling Services
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 472-100 RICHMOND RD N
- City
- Susanville
- State
- California
- ZIP Code
- 96130
- Phone
- (530) 257-5462
Authorized Official
- Name
- DR. RICHARD ELBERT RIDDLE, PH. D,
- Title
- PRESIDENT
- Phone
- (530) 257-5462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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