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Organization
RIVERSIDE THERAPY CENTER
Active
Organization
RIVERSIDE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FACCIOLA (OWNER)
(402) 686-6414
Entity
Organization
Contact information
Practice address
2022 N RIO GRANDE LN, SPOKANE VALLEY, WA 99016-9499
(402) 686-6414
Mailing address
2022 N RIO GRANDE LN, SPOKANE VALLEY, WA 99016-9499
(402) 686-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174155600
—
WA
Enumeration date
03/29/2023
Last updated
03/29/2023
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