Individual
DONALD W RIDENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 W MULBERRY ST, KOKOMO, IN 46901-4272
(765) 438-9445
Mailing address
1520 W MULBERRY ST, KOKOMO, IN 46901-4272
(765) 438-9445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002823A
IN
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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