| Organization Name: | RIVERBEND COUNSELING SERVICES, PLLC |
| NPI Number: | 1386099059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN MICHAEL WALDRON (OWNER/PROVIDER) |
| Mailing Address: | 231 Concord Ave Ste 2 St Johnsbury |
| State: | VT US |
| Postal Code: | 058191513 |
| Phone Number: | 8027459567 |
| Fax Number: | 8024678621 |
| NPI Enumeration Date: | 04/29/2016 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |