Individual provider · Type 1 NPI

Betty J. Ridout

Addiction (Substance Use Disorder) Counselor · Jamestown, NY

NPI number 1124166566 Active

Practice location

200 E 3rd St
Jamestown, NY 14701-5433

Mailing address

7 N Erie St
Mayville, NY 14757-1090

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4872 (NY)
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X298462 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124166566

Betty J. Ridout's National Provider Identifier is 1124166566, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamestown, NY. The record was last updated on Sep 11, 2025.