NPI 1003372905

Andre Riddick, LPCC

Practitioner Counselor Lexington, KY

Practice location

Address: 1301 Winchester Rd STE 147, Lexington, KY 40505-4179
Phone: (859) 991-0710
Fax: (859) 309-1791

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 288964 (KY)

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Registry record

NPI: 1003372905
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2019
Record last updated: 28 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.