person
Mrs. Gina Kim Riedl, LPT
Addiction (Substance Use Disorder) Counselor in Antelope, California
NPI 1013095843

Gina Kim Riedl is an Addiction (Substance Use Disorder) Counselor based in Lincoln, CA and is specialized in Addiction (Substance Use Disorder). Gina Kim Riedl practices in Antelope, CA and has the professional credentials of LPT. The NPI Number for Gina Kim Riedl is 1013095843 and holds a License No. 340077AN (California).

The current practice location address for Gina Kim Riedl is 8725 Watt Ave, Antelope, CA and can be reached out via phone at 916-338-6449 and via fax at 916-338-7535.

Location: 8725 Watt Ave, Antelope, CA, 95648-2403
person
Provider Profile Details
NPI Number
1013095843
Provider Name
Gina Kim Riedl
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
8725 Watt Ave, Antelope, CA, 95648-2403
Phone Number
916-338-6449
Fax Number
916-338-7535
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3464 01 CA CA DRUG MEDI-CAL#
PT 26123 01 CA LICENSED PSYCHIATRIC TECH
institution
Provider Business Practice Location Address Details
Address
8725 Watt Ave
City
State
Zip
95843-9747
Phone Number
916-338-6449
Fax Number
916-338-7535
person
Provider Business Mailing Address Details
Address
8725 Watt Ave
City
State
Zip
95843-9747
Phone Number
916-338-6449
Fax Number
916-338-7535
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
340077AN (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.