Organization
RIVERSIDE COUNSELING, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE COUCH (COUNSELOR/CO-OWNER)
(540) 373-1200
Entity
Organization
Contact information
Practice address
404 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 373-1200
Mailing address
404 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006396
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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