Individual
LUCAS DANIEL RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 452-8251
Mailing address
331 SWERENT ST E, FAIRBANKS, AK 99712
(907) 987-5129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/21/2020
Last updated
12/01/2022
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