Nicholas Brandon Riddle
Rehabilitation Counselor in Little Rock, AR. Individual provider (NPI-1).
NPI number1043429350
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043429350
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas Brandon Riddle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225C00000X | Rehabilitation Counselor | – | – | Yes |
Practice location
20400 Colonel Glenn RdLittle Rock, AR 72210-5323
Phone 501-821-5500
Mailing address
100 Park Dr Apt 237Maumelle, AR 72113-7419
Phone 501-454-1739
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