Organization
RIVERSIDE COUNSELING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA E. WILLOUGHBY MSW, LCSW (PARTNER)
(715) 833-7600
Entity
Organization
Contact information
Practice address
130 S BARSTOW ST, EAU CLAIRE, WI 54701-3691
(715) 833-7600
(715) 833-7116
Mailing address
130 S BARSTOW ST, EAU CLAIRE, WI 54701-3691
(715) 833-7600
(715) 833-7116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2375-057
WI
1041C0700X
Clinical Social Worker
Primary
6585-123
WI
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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