Organization
RIVERBIRCH THERAPY, LLC
Active
Other names
Riverbirch Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN MOSMAN BLOCK MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(608) 512-0461
Entity
Organization
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE B, FITCHBURG, WI 53711-5809
(608) 512-0461
(608) 298-3288
Mailing address
3606 RICHARD ST, MADISON, WI 53714-2325
(763) 639-9769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6129-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196276587
NPI
WI
Enumeration date
05/08/2018
Last updated
05/08/2018
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