Individual provider · Type 1 NPI
Gina Kim Riedl, LPT
Addiction (Substance Use Disorder) Counselor · Antelope, CA
NPI number
1013095843
Active
Practice location
8725 Watt Ave
Antelope, CA 95843-9747
Fax (916) 338-7535
Mailing address
2505 Muirfield Ct
Lincoln, CA 95648-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 340077AN (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Antelope
About NPI 1013095843
Gina Kim Riedl, LPT's National Provider Identifier is 1013095843, issued on Nov 1, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antelope, CA. The record was last updated on Jul 8, 2007.