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Organization
RIVERSIDE COUNSELING LLC
Active
Organization
RIVERSIDE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW REED M.A. PSYD. (OWNER / THERAPIST)
(719) 232-1868
Entity
Organization
Contact information
Practice address
2210 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2303
(719) 232-1868
Mailing address
205 W BROOKSIDE ST, COLORADO SPRINGS, CO 80905-2105
(719) 232-1868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD.0000937
DORA
CO
01
—
LPC.0004580
DORA
CO
Enumeration date
01/17/2020
Last updated
01/17/2020
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