Individual
SAMANTHA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
201 E LINCOLN AVE STE 100, YAKIMA, WA 98901-2348
(509) 930-9232
Mailing address
201 E LINCOLN AVE STE 100, YAKIMA, WA 98901-2348
(509) 930-9232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61144082
WA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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