MR. BRADLEY RIDENOUR, LPC

Counselor - Mental Health

Active Individual
NPI: 1790841153

Practice Address

509 S JEFFERSON AVE
Aurora, MO 65605

Phone: (417) 678-0403

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 2002010860 (MO)

Frequently Asked Questions

NPI 1790841153 is the National Provider Identifier for MR. BRADLEY RIDENOUR, LPC, a Counselor - Mental Health provider located in Aurora, MO. This NPI was enumerated on December 29, 2006.
MR. BRADLEY RIDENOUR, LPC practices at 509 S JEFFERSON AVE, Aurora, MO 65605.

Quick Facts

NPI
1790841153
Type
Individual
Enumerated
Dec 29, 2006
Last Updated
Jul 8, 2007

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