Individual
MICHELLE RATCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WYOMING ST, SYRACUSE, NY 13204-2927
(315) 703-8700
Mailing address
215 WYOMING ST, SYRACUSE, NY 13204-2927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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