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Organization

RIVERSIDE COUNSELING, PLLC.

Active
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Organization

RIVERSIDE COUNSELING, PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE COUCH (COUNSELOR/CO-OWNER)
(540) 373-1200
Entity
Organization

Contact information

Practice address
404 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 373-1200
Mailing address
404 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006396
VA

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
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