Individual
MICHELLE RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E WALNUT ST, FRANKFORT, IN 46041-2670
(765) 670-6480
Mailing address
6629 S COUNTY ROAD 400 E, KIRKLIN, IN 46050-9666
(765) 670-6480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002388A
IN
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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