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Individual
JOHN W. RILEY
Active
Individual
JOHN W. RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/28/2013
Last updated
09/16/2022
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