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NPI Code Detail

MEDICARE: LEANNA JOY RITTER LPC

MEDICARE: LEANNA JOY RITTER LPC
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 : 1184188328
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNA JOY RITTER LPC
Provider Business Mailing Address
First Line : 4096 SW BADGER AVE
Second Line :
City : REDMOND
State : OR
Zip : 97756-9402
Country : US
Telephone Number : 303-877-4122
Fax Number :
Provider Business Practice Location Address
First Line : 61690 PETTIGREW RD
Second Line :
City : BEND
State : OR
Zip : 97702-2422
Country : US
Telephone Number : 541-617-0377
Fax Number : 833-776-0563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2019
Last Update Date : 01/29/2024

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Directions to “ LEANNA JOY RITTER LPC” Practice Location

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