Healthcare Provider Details
I. General information
NPI: 1083223986
Provider Name (Legal Business Name): KATIE RUTH DITCHEN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2020
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6331 GLENWAY AVE
CINCINNATI OH
45211-6301
US
IV. Provider business mailing address
6331 GLENWAY AVE
CINCINNATI OH
45211-6301
US
V. Phone/Fax
- Phone: 513-346-1270
- Fax: 513-346-1281
- Phone: 513-346-1270
- Fax: 513-346-1281
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E.2303890 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: