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Kenneth Riddle III
Professional Counselor in Canonsburg, Pennsylvania
NPI 1962074203

Kenneth Riddle III is a Professional Counselor based in Canonsburg, PA and is specialized in Professional. Kenneth Riddle III practices in Canonsburg, PA. The NPI Number for Kenneth Riddle III is 1962074203 and holds a License No. PC007823 (Pennsylvania).

The current practice location address for Kenneth Riddle III is 135 Technology Dr Ste 312, Canonsburg, PA and can be reached out via phone at 724-413-4306.

Location: 135 Technology Dr Ste 312, Canonsburg, PA, 15317-9549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962074203
Provider Name
Kenneth Riddle III
Credential
Provider Entity Type
Individual
Gender
Male
Address
135 Technology Dr Ste 312, Canonsburg, PA, 15317-9549
Phone Number
724-413-4306
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
135 Technology Dr Ste 312
City
Canonsburg
State
Pennsylvania
Zip
15317-9549
Phone Number
724-413-4306
Fax Number
person
Provider Business Mailing Address Details
Address
135 Technology Dr Ste 312
City
Canonsburg
State
Pennsylvania
Zip
15317-9549
Phone Number
724-413-4306
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC007823 (Pennsylvania)
Definition
Definition to come...
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