| Doctor Name: | G. DENVER RISLEY |
| NPI Number: | 1881727584 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC AND LCDC III |
| License Number: | 051005 |
| Business Practice Address: | 6107 South Rt # 48 Maineville, OH - 45039 |
| Business Phone Number: | 5133798998 |
| Business Fax Number: | 5136773185 |
| Mailing Address: | 7193 Wethersfield Dr, MAINEVILLE |
| State: | OH |
| Postal Code: | 450398880 |
| Phone Number: | 5133798998 |
| Fax Number: | 5136773185 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 051005 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |