Individual provider · Type 1 NPI

Andre Riddick Sr., LPCC

Counselor · Lexington, KY

NPI number 1003372905 Active

Practice location

1301 Winchester Rd Ste 147
Lexington, KY 40505-4179

Fax (859) 309-1791

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X288964 (KY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003372905

Andre Riddick Sr., LPCC's National Provider Identifier is 1003372905, issued on Feb 15, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lexington, KY. The record was last updated on Nov 28, 2023.