Riverside Counseling Center Pllc

NPI #1952879546 in Rockford, Illinois

Provider Information

NPI Number: 1952879546
Entity Type: Organization
Organization Name: Riverside Counseling Center Pllc
Primary Specialty: Counselor
Enumeration Date: Nov 13, 2018
Last Updated: Dec 22, 2020

Practice Location

Address: 6653 WEAVER RD STE 112
City: Rockford
State: Illinois
ZIP Code: 61114-8052
Phone: (815) 201-2687

Authorized Official

Name: KIRSTEN EKBERG
Title: CONTRACTING
Phone: (815) 299-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor	101Y00000X	Primary

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