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NPI Code Detail

MEDICARE: COLLEEN RITCHIE

MEDICARE: COLLEEN RITCHIE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912032483
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN RITCHIE
Provider Business Mailing Address
First Line : 1424 PEACHTREE RD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-5958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1150 RED JOHN DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32124-1016
Country : US
Telephone Number : 386-236-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ COLLEEN RITCHIE ” Practice Location

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