Provider Demographics
NPI:1710155270
Name:RIFFE, JOHN W (LPC, NBCC, LMT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:RIFFE
Suffix:
Gender:M
Credentials:LPC, NBCC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-6584
Mailing Address - Country:US
Mailing Address - Phone:304-296-2357
Mailing Address - Fax:304-291-5964
Practice Address - Street 1:270 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5430
Practice Address - Country:US
Practice Address - Phone:304-296-2357
Practice Address - Fax:304-291-5964
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health