Individual
MARY CATHERINE RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
408 N CEDAR BLUFF RD # 305, KNOXVILLE, TN 37923-3607
(865) 325-2085
Mailing address
1240 E MOODY AVE, KNOXVILLE, TN 37920-2540
(865) 603-2555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4544
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/07/2013
Last updated
08/12/2019
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