Most Relevant Information
Provider Data
| NPI Number: | 1003372905 |
| Provider Name: | ANDRE RIDDICK LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 288964 |
Most Important Dates
| Enumeration Date: | 02/15/2019 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
1301 WINCHESTER RD STE 147
LEXINGTON
KY
405054179
Practice Location Phone/Fax
| Phone: | 8599910710 |
| Fax: | 8593091791 |
Provider Mailing Location
1301 WINCHESTER RD STE 147
LEXINGTON
KY
405054179
Provider Mailing Phone/Fax
| Phone: | 8599910710 |
| Fax: | 8593091791 |