Individual
KADEEDRAH PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
6111 BULLTOWN RD, LA GRANGE, NC 28551-7272
(404) 915-9998
Mailing address
6111 BULLTOWN RD, LA GRANGE, NC 28551-7272
(404) 915-9998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29382
NC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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