MEDICARE: ERIN RITENOUR LPC, ATR-P

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	101YP2500X	Professional Counselor	11165-125	WI

General Provider Information

NPI Number	:	1427744788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN RITENOUR LPC, ATR-P

Provider Business Mailing Address
First Line	:	1314 S 1ST ST # 165
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2405
Country	:	US
Telephone Number	:	414-562-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 S 1ST ST # 165
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2405
Country	:	US
Telephone Number	:	414-617-7614
Fax Number	:

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

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	10/18/2024

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