MEDICARE: KATELYN MICHELLE RITTER

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1396461844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MICHELLE RITTER

Provider Business Mailing Address
First Line	:	5442 GLENWOOD DR
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-8521
Country	:	US
Telephone Number	:	541-892-4632
Fax Number	:

Provider Business Practice Location Address
First Line	:	4309 S 6TH ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4863
Country	:	US
Telephone Number	:	541-892-4632
Fax Number	:

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

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	04/03/2026

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Directions to “ KATELYN MICHELLE RITTER ” Practice Location

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