Individual
JENNIFER LYNN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 POPLAR AVE STE 325, MEMPHIS, TN 38117-4433
(901) 443-8895
Mailing address
4646 POPLAR AVE STE 325, MEMPHIS, TN 38117-4433
(901) 443-8895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/13/2019
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