Individual
STEPHEN J RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, MAC
Contact information
Practice address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Mailing address
258 PLANTATION CIR, IDAHO FALLS, ID 83404-7990
(208) 523-5978
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35620
ID
101YM0800X
Mental Health Counselor
LCPC-169
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150854
REGENCE BLUE SHIELD OF ID
ID
01
—
Q6157
BLUE CROSS OF IDAHO
ID
Enumeration date
08/20/2006
Last updated
09/11/2025
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