Individual
KIMBERLY JO RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT CSAC ICS
Contact information
Practice address
313 PRICE PL STE 208, MADISON, WI 53705-3262
(608) 571-3866
Mailing address
313 PRICE PL STE 208, MADISON, WI 53705-3262
(608) 571-3866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15970-132
WI
106H00000X
Marriage & Family Therapist
Primary
1014
WI
Other
Enumeration date
03/14/2013
Last updated
02/18/2025
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