Individual
CRYSTAL MARIE RIDDLE-ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA-C, P-TA, SUD, CPC
Contact information
Practice address
1348 SUNRISE HILL LN, NEWPORT, WA 99156-8788
(208) 217-1079
Mailing address
1348 SUNRISE HILL LN # A, NEWPORT, WA 99156-8788
(509) 906-3471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
—
—
225200000X
Physical Therapy Assistant
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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