Individual
LOREN RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 W SAN ANTONIO ST STE 110, LOCKHART, TX 78644-3051
(830) 832-6631
Mailing address
1233 ORANGE ST, LOCKHART, TX 78644-2419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
80100
TX
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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