Individual
CHASITY RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Mailing address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
101YM0800X
Mental Health Counselor
—
WA
Other
Enumeration date
11/04/2020
Last updated
11/23/2020
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