Organization
VERDANT OAK COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JEFFREY RITCHIE LCPC (THERAPIST/OWNER)
(815) 200-6874
Entity
Organization
Contact information
Practice address
2005 N PROSPECT AVE # 1047, CHAMPAIGN, IL 61822-1235
(815) 200-6874
Mailing address
2005 N PROSPECT AVE # 1047, CHAMPAIGN, IL 61822-1235
(815) 200-6874
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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