John W. Riley CADC

NPI 1003240953 - Counselor - 101YA0400X

NPI Details
NPI 1003240953
Gender Male
Enumeration Date 08/28/2013
Last Updated 12/22/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
48 INDEPENDENCE DR
HAZARD KY, 41701-9443, US
Phone (606) 487-1646
Fax
Business Location
48 INDEPENDENCE DR
HAZARD KY, 41701-9443, US
Phone (606) 487-1646
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mr. John W. Riley CADC NPI is 1003240953, taxonomy code is 101YA0400X John W. Riley CADC physically located at 48 Independence Dr, Hazard KY, 41701-9443. NPI Number John W. Riley CADC has the Individual type.

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1003240953 NPI number is provided on an as is basis without warranty of any kind. 1003240953 is maintained by the National Plan & Provider Enumeration System. The contents of John W. Riley CADC are for informational purposes only.