Jerilynn Riddle

Counselor · Winter Haven, FL

Individual Active NPI

NPI number 1598870966

Practice location

1201 First Street South
Winter Haven, FL 33880
Phone
(863) 297-1702
Fax
(863) 291-6084

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NPI record

NPI
1598870966
Entity type
Individual (Type 1)
Enumeration date
August 19, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X MH4552 FL

Mailing address

200 Avenue F NE
Winter Haven, FL 33881
Phone
(863) 293-1121
Fax
(863) 291-6084

About Jerilynn Riddle

Jerilynn Riddle is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1201 First Street South, Winter Haven, FL 33880. The NPI number 1598870966 was assigned on August 19, 2006 and the record was last updated on July 8, 2007.

Jerilynn Riddle lists a license in the registry: #MH4552 (FL) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerilynn Riddle?

The NPI number is 1598870966.

What is the phone number of Jerilynn Riddle?

The phone number listed for the practice location is (863) 297-1702.

Where is Jerilynn Riddle located?

1201 First Street South, Winter Haven, FL 33880.

What is the taxonomy code for Jerilynn Riddle?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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