Individual
CHAD FREDERICK RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 PIKE STREET, MARIETTA, OH 45750
(681) 588-0550
Mailing address
1017 PIKE STREET, MARIETTA, OH 45750-3522
(740) 856-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190886
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190886
OH
Other
Enumeration date
02/23/2022
Last updated
01/08/2025
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