Organization
RIVERVIEW COUNSELING SERVICES
Active
Other names
Champlin Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY MARIE DAVENPORT MS, LMFT (OWNER)
(763) 528-5235
Entity
Organization
Contact information
Practice address
11326 MAPLEWOOD LN N, CHAMPLIN, MN 55316-3145
(763) 528-5235
(763) 424-7288
Mailing address
11326 MAPLEWOOD LN N, CHAMPLIN, MN 55316-3145
(763) 528-5235
(763) 424-7288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407168900
—
MN
Enumeration date
05/01/2009
Last updated
05/01/2009
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