Individual
SHERRY RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
119 CAILLOUET PLACE, LAFAYETTE, LA 70501
(337) 234-4912
Mailing address
102 KINGS COVE CIRCLE, LAFAYETTE, LA 70508
(337) 319-1175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1049
LA
101YM0800X
Mental Health Counselor
3926
LA
101YP2500X
Professional Counselor
Primary
3926
LA
Other
Enumeration date
10/24/2014
Last updated
10/13/2016
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