David Lee Riedesel LMHC, LADAC

NPI 1174766885 - Counselor - 101YA0400X

NPI Details
NPI 1174766885
Gender Male
Enumeration Date 04/10/2009
Last Updated 04/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2322 WISCONSIN ST NE
ALBUQUERQUE NM, 87110-4652, US
Phone (505) 237-0061
Fax (505) 237-0068
Business Location
2322 WISCONSIN ST NE
ALBUQUERQUE NM, 87110-4652, US
Phone (505) 237-0061
Fax (505) 237-0068
Toxanomy
Taxonomy Code 101YA0400X
License State New Mexico
License Number 0121221
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According to our database, David Lee Riedesel LMHC, LADAC NPI is 1174766885, taxonomy code is 101YA0400X and license number is 0121221, license state is located at New Mexico. David Lee Riedesel LMHC, LADAC physically located at 2322 Wisconsin St Ne, Albuquerque NM, 87110-4652. NPI Number David Lee Riedesel LMHC, LADAC has the Individual type.

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1174766885 NPI number is provided on an as is basis without warranty of any kind. 1174766885 is maintained by the National Plan & Provider Enumeration System. The contents of David Lee Riedesel LMHC, LADAC are for informational purposes only.