Riddle, Jessica

Riddle, Jessica is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Riddle, Jessica can be contacted via phone (606) 638-0938.

Contact Information

Primary practice address
125 S Main Cross St Louisa KY 41230-1065
Phone: (606) 638-0938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 103571 Kentucky

Profile Details

NPI number 1205146974
LBN Legal business name Riddle, Jessica
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2010
Last updated Jan 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205146974 NPPES
Kentucky MEDICAID 7100345420

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