MATTHEW SAMARCQ RIDGWAY

SANTA ROSA, CA
NPI1891245429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  56523)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
-- MATTHEW SAMARCQ RIDGWAY
2403 PROFESSIONAL DR 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Mailing Address
-- MATTHEW SAMARCQ RIDGWAY
2403 PROFESSIONAL DR 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295