| Doctor Name: | DAVID RILEY |
| NPI Number: | 1346606308 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E.0700423 |
| Business Practice Address: | 2621 Dryden Rd Suite 310 Moraine, OH - 454391661 |
| Business Phone Number: | 9372999196 |
| Business Fax Number: | |
| Mailing Address: | 2621 Dryden Rd, Suite 310 MORAINE |
| State: | OH |
| Postal Code: | 454391661 |
| Phone Number: | 9372999196 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2016 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0700423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |