Individual
MISSY RIDDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11219 W RENO AVE, YUKON, OK 73099-7569
(405) 265-8866
(405) 265-8866
Mailing address
11219 W RENO AVE, YUKON, OK 73099-7569
(405) 265-8866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/04/2010
Last updated
01/14/2019
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