Individual
DAVID LEE RIEDESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LADAC
Contact information
Practice address
2322 WISCONSIN ST NE, ALBUQUERQUE, NM 87110-4652
(505) 237-0061
(505) 237-0068
Mailing address
2322 WISCONSIN ST NE, ALBUQUERQUE, NM 87110-4652
(505) 237-0061
(505) 237-0068
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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