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Individual
KELLY MARIE RITZMAN
Active
Individual
KELLY MARIE RITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC-MH, RPT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH2175
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11921531
CAQH
—
01
—
1548408198
NPI
—
05
—
6576590
—
SD
01
—
72760
NBCC
—
01
—
LPC-MH2175
LICENSED PROFESSIONAL COUNSELOR-MENTAL HEALTH
SD
01
—
T-1150
REGISTERED PLAY THERAPIST
CA
Enumeration date
10/21/2008
Last updated
07/27/2021
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