Individual provider · Type 1 NPI

Brandon Riddle

Peer Specialist · Bowling Green, KY

NPI number 1205455730 Active

Practice location

1711 Ashley Cir Ste 6
Bowling Green, KY 42104-5801

Call (270) 901-5000 Map

Fax (270) 842-5268

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1205455730

Brandon Riddle's National Provider Identifier is 1205455730, issued on Apr 14, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bowling Green, KY. The record was last updated on Apr 14, 2020.