Riverside Wellness, LLC

NPI #1750161980 in Blackfoot, Idaho

Provider Information

NPI Number: 1750161980
Entity Type: Organization
Organization Name: Riverside Wellness, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 4, 2023
Last Updated: Oct 4, 2023

Practice Location

Address: 167 N 710 W
City: Blackfoot
State: Idaho
ZIP Code: 83221-5380
Phone: (208) 417-9638

Authorized Official

Name: ASHTON W HOLBROOK, LCSW
Title: OWNER
Phone: (208) 417-9638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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