Organization
RIVERCOURSE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNALISE JOHN LCSW (OWNER)
(651) 269-5019
Entity
Organization
Contact information
Practice address
3556 S 5600 W # 1-660, WEST VALLEY CITY, UT 84120-2815
(612) 930-2038
Mailing address
3556 S 5600 W # 1-660, WEST VALLEY CITY, UT 84120-2815
(612) 930-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2021
Last updated
08/22/2021
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