Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 35000593A | IN |
N | 101YM0800X | Mental Health Counselor | 35000593A | IN |
N | 101YP1600X | Pastoral Counselor | 35000593A | IN |
Y | 1041C0700X | Clinical Social Worker | 34002880A | IN |
NPI | 1336260462 |
---|---|
Provider Name | Joyce Elda Ritchison |
First Address | Indianapolis, IN 46227-6066 |
Second Address | Indianapolis, IN 46227-6066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 18/09/2007 |