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NPI Code Detail

MEDICARE: MS. TONYA RIDLEY LPC CRC

MEDICARE:  MS. TONYA  RIDLEY  LPC CRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPRC14577DC

General Provider Information

NPI Number : 1164875266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TONYA RIDLEY LPC CRC
Provider Business Mailing Address
First Line : 1929 VALLEY TER SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4627
Country : US
Telephone Number : 202-768-8454
Fax Number :
Provider Business Practice Location Address
First Line : 1929 VALLEY TER SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4627
Country : US
Telephone Number : 202-768-8454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2016
Last Update Date : 07/13/2016

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Directions to “ MS. TONYA RIDLEY LPC CRC” Practice Location

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