Organization
RIVERSIDE THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANN L ARNEY LMFT (LIC MARRIAGE AND FAMILY THERAPIST)
(209) 368-2532
Entity
Organization
Contact information
Practice address
18826 N LOWER SACRAMENTO RD STE C, WOODBRIDGE, CA 95258
(209) 368-2532
(209) 625-0492
Mailing address
18826 N LOWER SACRAMENTO RD STE C, WOODBRIDGE, CA 95258-9290
(209) 368-2532
(209) 625-0492
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
LMFT54037
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LMFT54037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093144198
NPPES
CA
Enumeration date
07/20/2018
Last updated
07/21/2018
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