Jerilynn Riddle Valid NPI
Individual provider · Counselor · Winter Haven, FL
- NPI
- 1598870966
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- MH4552 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-19
- Last updated
- 2007-07-08
Practice location
1201 First Street South
Winter Haven, FL 33880
(863) 297-1702