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Provider Information for 1750982898


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MICHELLE RITTENOUR MS


Sex: Female

NPI: 1750982898
Last Updated: 2020-11-05
Certification Date: 2020-11-05

Details

NameValue
NPI1750982898
Enumeration Date2020-11-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3150 GARRISON RD APT 517
CORINTH, TX 76210-1814
United States

Phone: 469-450-2519 | Fax:
 
Primary Practice Address 3150 GARRISON RD APT 517
CORINTH, TX 76210-1814
United States

Phone: 469-450-2519 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor TX74046