Individual
MR. ROBERT MYRON RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
441 E BROAD ST, SUITE H, COOKEVILLE, TN 38501-3389
(931) 544-1096
(931) 451-3774
Mailing address
441 E BROAD ST, SUITE H, COOKEVILLE, TN 38501-3389
(931) 544-1096
(931) 451-3774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441348
—
TN
Enumeration date
11/18/2005
Last updated
12/22/2016
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