MR. Andre Riddick SR., LPCC

NPI #1003372905 in Lexington, Kentucky

Provider Information

NPI Number: 1003372905
Entity Type: Individual
Name: MR. Andre Riddick SR., LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPCC
Enumeration Date: Feb 15, 2019
Last Updated: Nov 28, 2023

Practice Location

Address: 1301 WINCHESTER RD STE 147
City: Lexington
State: Kentucky
ZIP Code: 40505-4179
Phone: (859) 991-0710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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