Organization
RIVERSIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PATRICK DAVISON L.C.S.W. (OWNER)
(814) 230-3042
Entity
Organization
Contact information
Practice address
438 PENNSYLVANIA AVE W, WARREN, PA 16365-2238
(814) 230-3042
Mailing address
438 PENNSYLVANIA AVE W, WARREN, PA 16365-2238
(814) 230-3042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW018306
PA
Other
Enumeration date
04/16/2018
Last updated
03/01/2022
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