Organization
RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIKA RUSSAW LPC (CEO)
(678) 860-9766
Entity
Organization
Contact information
Practice address
2774 COBB PARKWAY NW, STE 109 - 454, KENNESAW, GA 30152
(678) 860-9766
Mailing address
2774 COBB PARKWAY NW, STE 109 - 454, KENNESAW, GA 30152
(678) 860-9766
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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