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Individual
DAVID LEE RIEDESEL
Active
Individual
DAVID LEE RIEDESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0121221
NM
101YM0800X
Mental Health Counselor
Primary
T-0121341
NM
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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