Individual
ELISE RIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 3RD ST, EUREKA, CA 95501-0492
(707) 418-0109
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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