Provider Demographics
NPI:1689172587
Name:RAGLAND, RITTIE ANN (RMHCI,MCAP)
Entity Type:Individual
Prefix:
First Name:RITTIE
Middle Name:ANN
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:RMHCI,MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4394 JIGGERMAST AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-1057
Mailing Address - Country:US
Mailing Address - Phone:904-616-0858
Mailing Address - Fax:904-493-6026
Practice Address - Street 1:4720 S. SALISBURY RD STE 103
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6101
Practice Address - Country:US
Practice Address - Phone:904-608-9881
Practice Address - Fax:904-493-6026
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)