Individual
JOHNAE LA'ESSIECA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COUNTY ROAD 67, SELMA, AL 36701-1415
(334) 505-4353
Mailing address
529 COUNTY ROAD 67, SELMA, AL 36701-1415
(334) 505-4353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04894
AL
101YP2500X
Professional Counselor
Primary
LPC06013
AL
Other
Enumeration date
05/21/2026
Last updated
07/07/2026
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