Individual provider · Type 1 NPI

John Charles Riddell, CADC I

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1780958132 Active

Practice location

2035 Davcor St SE
Salem, OR 97302-1595

Call (503) 576-4660 Map

Fax (503) 361-2688

Mailing address

1575 19th St NE
Salem, OR 97301-7931

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1780958132

John Charles Riddell, CADC I's National Provider Identifier is 1780958132, issued on Mar 2, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Mar 2, 2012.