Richard Allen Risberg in Bloomington - Addiction (substance Use Disorder)
Richard Allen Risberg - NPI 1902909484
Richard Allen Risberg is a Addiction (substance Use Disorder) in Bloomington, Illinois. Richard Allen Risberg practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Richard Allen Risberg is 1902909484. The last update date is 2007-07-08.
Richard Allen Risberg's current location address is 101 W Monroe, Bloomington, Illinois. You can contact this provider via phone number 3092424414 and fax number 3098284525. The mailing address for Richard Allen Risberg is 101 W Monroe, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Allen Risberg |
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Address | 101 W Monroe, Bloomington, Illinois |
Phone Number | 3092424414 |
Fax Number | 3098284525 |
Sole Proprietor | N |
Credentials | MA LCPC CR |
NPI Number Detail
NPI Number | 1902909484 |
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Provider Enumeration Date | 2006-09-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 101 W Monroe |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 61701 |
Phone Number | 3092424414 |
Fax Number | 3098284525 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Richard Allen Risberg by the Centers for Medicare & Medicaid Services?
The Richard Allen Risberg has been issued the NPI (National Provider Identifier) 1902909484. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Richard Allen Risberg is physically located?
The Richard Allen Risberg is situated at the following address: 101 W Monroe, Bloomington, IL 61701.
What is Richard Allen Risberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Allen Risberg's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Richard Allen Risberg receive its 1902909484 assignment from the Centers for Medicare & Medicaid Services?
The Richard Allen Risberg was assigned its 1902909484 by the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details pertaining to Richard Allen Risberg last refreshed?
The information related to the Richard Allen Risberg, including its address, specialty, and other relevant details, was last updated on 2007-07-08.