Individual
BRENNA L RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 DELAWARE AVE, MARION, OH 43302-6475
(888) 522-9174
Mailing address
1199 DELAWARE AVE, MARION, OH 43302-6475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172534
OH
Other
Enumeration date
01/09/2020
Last updated
03/03/2020
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