Organization
RIVERVIEW THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN BURELBACH (MANAGING MEMBER/SOLE PROPRIETOR)
(608) 397-8727
Entity
Organization
Contact information
Practice address
2920 EAST AVE S STE 101, LA CROSSE, WI 54601-8282
(608) 397-8727
Mailing address
2920 EAST AVE S STE 101, LA CROSSE, WI 54601-8282
(608) 397-8727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6890123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376343
MANAGED HEALTH NETWORK
WI
05
—
40939800
—
WI
Enumeration date
03/27/2007
Last updated
03/17/2018
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