RONALD CLAYTON ELDRIDGE

ALEXANDRIA, VA
NPI1346301405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710000855)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- RONALD CLAYTON ELDRIDGE CSAC
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314-1912
Phone number: 703-838-4455
Mailing Address
-- RONALD CLAYTON ELDRIDGE CSAC
12208 PARKTON CT
FT WASHINGTON, MD 20744-6130
Phone number: 703-838-4455