Individual
YVONNE RENEE RIEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
114 N MAIN ST, GOSHEN, IN 46526-3207
(574) 533-6154
(574) 534-3951
Mailing address
114 N MAIN ST, GOSHEN, IN 46526-3207
(574) 533-6154
(574) 534-3951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87001382A
LICENSE NUMBER INDIANA
IN
Enumeration date
03/23/2019
Last updated
06/11/2019
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