Mr. Kenneth Charles Rideout
Addiction Counselor (Substance Use Disorder)
321 East 5th Avenue
Tarentum
, Pennsylvania 15208
Mr. Kenneth Charles Rideout
Addiction Counselor (Substance Use Disorder)
321 East 5th Avenue
Tarentum
, Pennsylvania 15208
(724) 226-4865
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Kenneth Charles Rideout
- 321 East 5th Avenue
- Tarentum, PA
- Zip : 15208
- Fax : (724) 226-4865
- Phone : (724) 226-0664
Second Address
- Mr. Kenneth Charles Rideout
- 321 East 5th Avenue
- Tarentum, PA
- Zip : 15208
- Fax : (724) 226-4865
- Phone : (724) 226-0664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003901562 |
|---|---|
| Provider Name | Mr. Kenneth Charles Rideout |
| First Address | Tarentum, PA 15208 |
| Second Address | Tarentum, PA 15208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.