Individual provider · Type 1 NPI
Shanda Retrell Riley, L.C.S.W.
Mental Health Counselor · Mesquite, TX
NPI number
1124330188
Active
Practice location
813 Interstate 30, Apt. 731
Mesquite, TX 75150-7494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 29588 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1124330188
Shanda Retrell Riley, L.C.S.W.'s National Provider Identifier is 1124330188, issued on Jul 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesquite, TX. The record was last updated on Mar 6, 2013.