Organization · Type 2 NPI
779 Riverside Recovery & Counseling Services
Addiction (Substance Use Disorder) Counselor · Edina, MN
NPI number
1437636131
Active
Practice location
4940 W 77th St
Edina, MN 55435-4805
Mailing address
8014 Highway 55 Unit 197
Golden Valley, MN 55427-4712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 00935 (MN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303344 (MN) |
| Mental Health Counselor | 101YM0800X | 00935 (MN) |
| Professional Counselor | 101YP2500X | 00935 (MN) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 00935 (MN) |
| Clinical Psychologist | 103TC0700X | 00935 (MN) |
| Group Psychotherapy Psychologist | 103TP2701X | 00935 (MN) |
| Adult Mental Health Clinic/Center | 261QM0850X | 00935 (MN) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 00935 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1437636131
779 Riverside Recovery & Counseling Services's National Provider Identifier is 1437636131, issued on Jul 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edina, MN. The record was last updated on Jul 25, 2018.