Provider Demographics
NPI:1275313603
Name:RITCHIE, JAMES ALEXANDER (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALEXANDER
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:ANDREW
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1101
Mailing Address - Street 2:
Mailing Address - City:ADKINS
Mailing Address - State:TX
Mailing Address - Zip Code:78101-1101
Mailing Address - Country:US
Mailing Address - Phone:210-963-5533
Mailing Address - Fax:
Practice Address - Street 1:3634 RIDGE CLUSTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3422
Practice Address - Country:US
Practice Address - Phone:210-793-1633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88302101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional