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Provider Information for 1417330994


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VICTORIA CORNELL RIORDAN LPCC


Sex: Female

NPI: 1417330994
Last Updated: 2019-01-21
Certification Date:

Details

NameValue
NPI1417330994
Enumeration Date2015-07-02
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 220 BENT TREE DR APT 1A
FAIRFIELD, OH 45014-6759
United States

Phone: 513-444-8592 | Fax:
 
Primary Practice Address 935 N CASSADY AVE
COLUMBUS, OH 43219-2283
United States

Phone: 614-202-9468 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHE.1800849