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Mr. Robert Myron Ridley, LPC
Professional Counselor in Cookeville, Tennessee
NPI 1891777264

Robert Myron Ridley is a Professional Counselor based in Cookeville, TN and is specialized in Professional. Robert Myron Ridley practices in Cookeville, TN and has the professional credentials of LPC. The NPI Number for Robert Myron Ridley is 1891777264 and holds a License No. LPC0000001599 (Tennessee).

The current practice location address for Robert Myron Ridley is 441 E Broad St, Cookeville, TN and can be reached out via phone at 931-544-1096 and via fax at 931-451-3774.

Location: 441 E Broad St, Cookeville, TN, 38501-3389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891777264
Provider Name
Robert Myron Ridley
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
441 E Broad St, Cookeville, TN, 38501-3389
Phone Number
931-544-1096
Fax Number
931-451-3774
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5441348 05 TN
institution
Provider Business Practice Location Address Details
Address
441 E Broad St
City
Cookeville
State
Tennessee
Zip
38501-3389
Phone Number
931-544-1096
Fax Number
931-451-3774
person
Provider Business Mailing Address Details
Address
441 E Broad St
City
Cookeville
State
Tennessee
Zip
38501-3389
Phone Number
931-544-1096
Fax Number
931-451-3774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC0000001599 (Tennessee)
Definition
Definition to come...
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