Individual
DR. REGINALD B. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8000 MILLER CT E, NORCROSS, GA 30071-1456
(770) 734-8091
(770) 734-8094
Mailing address
8000 MILLER CT E, NORCROSS, GA 30071-1456
(770) 734-8091
(770) 734-8094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MSW003688
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
MSW003688
GA
101YM0800X
Mental Health Counselor
MSW003688
GA
101YP2500X
Professional Counselor
MSW00368
GA
104100000X
Social Worker
Primary
MSW003688
GA
1041C0700X
Clinical Social Worker
MSW003688
GA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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