Doctor Name: | MS. KRISTI L RYDEEN |
NPI Number: | 1174531537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LCPS, NCC |
License Number: | 1016 |
Business Practice Address: | 444 Montana Ave Deer Lodge, MT - 597221547 |
Business Phone Number: | 4068461553 |
Business Fax Number: | 4068461599 |
Mailing Address: | Po Box 814, DEER LODGE |
State: | MT |
Postal Code: | 597220814 |
Phone Number: | 4068461553 |
Fax Number: | 4068461599 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |