# 4 RIVERS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699404012
- **Authorized official:** JENNIFER YATES (OWNER)
- **Authorized official phone:** (276) 226-0307

## Contact information

- **Practice address:** 300 FRANKLIN ST STE 236, MARTINSVILLE, VA 24112-2162
- **Practice address phone:** (276) 226-0307
- **Mailing address:** 300 FRANKLIN ST STE 236, MARTINSVILLE, VA 24112-2162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 08/09/2023