Provider Demographics
NPI:1386487742
Name:RIVERSTONE COUNSELING
Entity type:Organization
Organization Name:RIVERSTONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:618-210-8200
Mailing Address - Street 1:1025 MOLINE ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-2637
Mailing Address - Country:US
Mailing Address - Phone:618-210-8200
Mailing Address - Fax:
Practice Address - Street 1:2000 ENGEL ST STE 100C
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-4822
Practice Address - Country:US
Practice Address - Phone:618-408-1309
Practice Address - Fax:608-205-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty