Individual
GARRIN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18-04-11
OR
101YM0800X
Mental Health Counselor
—
OH
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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