GRACE RIDEOUT, CIT
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1649651852
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1649651852 is the National Provider Identifier for GRACE RIDEOUT, CIT, a Counselor - Addiction (Substance Use Disorder) provider located in Russellville, AR. This NPI was enumerated on June 12, 2015.
GRACE RIDEOUT, CIT practices at 400 LAKE FRONT DR, Russellville, AR 72802.
Quick Facts
- NPI
- 1649651852
- Type
- Individual
- Enumerated
- Jun 12, 2015
- Last Updated
- Jun 12, 2015
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