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Individual

MR. ERIC RIDGWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, NCC

Contact information

Practice address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-5412
Mailing address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-5412

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 135
ID

Other

Enumeration date
05/27/2006
Last updated
07/08/2007
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