MEDICARE: ALISON RITTERBUSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1861610370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON RITTERBUSH

Provider Business Mailing Address
First Line	:	1245 SHERMAN ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1465
Country	:	US
Telephone Number	:	605-745-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 SHERMAN ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1465
Country	:	US
Telephone Number	:	605-745-5334
Fax Number	:	605-745-6256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	11/25/2008

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