Individual
DR. BRAD A RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN, LMHP
Contact information
Practice address
5505 RED ROCK LN, SUITE 400, LINCOLN, NE 68516-2520
(402) 613-0992
Mailing address
5505 RED ROCK LN, SUITE 400, LINCOLN, NE 68516-2520
(402) 613-0992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1875
NE
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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