Organization
RIVERSIDE COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE POE LCPC (PRESIDENT)
(208) 667-3515
Entity
Organization
Contact information
Practice address
408 E MONTANA AVE, COEUR D ALENE, ID 83814-3051
(208) 667-3515
(208) 667-1304
Mailing address
408 E MONTANA AVE, COEUR D ALENE, ID 83814-3051
(208) 667-3515
(208) 667-1304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC3277
ID
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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