Individual provider · Type 1 NPI
Jonathan Riddel, PhD, LPC
Professional Counselor · Southlake, TX
NPI number
1215894308
Active
Practice location
1723 E Southlake Blvd Ste 120
Southlake, TX 76092-6445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1215894308
Jonathan Riddel, PhD, LPC's National Provider Identifier is 1215894308, issued on Jan 8, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southlake, TX. The record was last updated on Jan 8, 2026.