Individual
MR. STEVEN ROBERT RIDGEWAY-ANDERSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 S 21ST AVE, YAKIMA, WA 98902-4165
(509) 406-6717
Mailing address
2280 WA-821, YAKIMA, WA 98901
(509) 457-0990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61593039
WA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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