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Individual

JESSICA RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
(859) 813-5394
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
(859) 813-5394

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103571
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100345420
KY
Enumeration date
10/15/2010
Last updated
12/05/2025
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