Individual
VICKI LYNN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
14301 COUNTY HIGHWAY B BLDG A19, SPARTA, WI 54656-0044
(608) 269-8624
(608) 269-8935
Mailing address
14301 COUNTY HIGHWAY B BLDG A19, SPARTA, WI 54656-4509
(608) 269-8624
(608) 269-8935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2688-226
WI
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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