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1629303649
JEREMY A. RIDDLE
AUSTIN, TX
NPI
1629303649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 64806)
Enumeration Date
2009-10-08
Last Update Date
2009-10-08
Business Address
-- JEREMY A. RIDDLE LPC
1631 E 2ND ST STE E
AUSTIN, TX 78702-4491
Phone number: 512-804-3650
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Mailing Address
-- JEREMY A. RIDDLE LPC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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