Provider Demographics
NPI:1639957111
Name:REDDIG, ZOE ELISE (LCMHCA)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:ELISE
Last Name:REDDIG
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 BLUE RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3124
Mailing Address - Country:US
Mailing Address - Phone:704-604-7170
Mailing Address - Fax:
Practice Address - Street 1:133 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-0112
Practice Address - Country:US
Practice Address - Phone:828-575-6460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health