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General NPI Number Information
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NPI Number | 1710092739
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Entity Type | Individual
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Provider Name | STEPHEN J RITCHIE LCPC, MAC
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 496 A ST
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City | IDAHO FALLS
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State | ID
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Zip | 83402-3617
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Country | US
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Telephone | 208-552-7100
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Fax | 208-552-7101
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Provider Business Mailing Address
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Address Line | 258 PLANTATION CIR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7990
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Country | US
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Telephone | 208-523-5978
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 35620
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC-169
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License Number State | ID
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