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Individual

AMY LENNON RIGGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8284 28TH CT NE STE A, LACEY, WA 98516-7161
(360) 915-3221
Mailing address
5436 YAKIMA AVE APT A, TACOMA, WA 98408-5642
(206) 355-5537

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61027983
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61027537
WA
101YM0800X
Mental Health Counselor
Primary
MC61107243
WA

Other

Enumeration date
10/03/2006
Last updated
02/24/2021
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