Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH CHARLES RIDEOUT, M. ED.
ActiveMR. KENNETH CHARLES RIDEOUT, M. ED. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in TARENTUM, Pennsylvania. NPI 1003901562 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · TARENTUM, PA
Registration Details
- NPI Number
- 1003901562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.868391407218 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
321 EAST 5TH AVENUETARENTUM, PA, 15208Browse PA providers · Browse ZIP 15208
- Phone
- 7242260664
- Fax
- 7242264865
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.