Mr. Kirk Remon Riddle, LICENSEDPROFESSIONA
Mr. Kirk Remon Riddle, LICENSEDPROFESSIONA is a Mental Health Counselor in Chicago, Illinois. Qualified in 2012, 14 years ago. Licensed in Illinois.
- Years since qualifying
- 14
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
1525 E 53rd St Ste 425Chicago, IL 60615
Phone: (773) 819-5504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 01YP2500X (IL) |
|---|
Record details
| NPI number | 1205387990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDPROFESSIONA |
| Sole proprietor | No |
| NPI enumerated | October 18, 2016 |
| Last updated in NPPES | October 18, 2016 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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