Provider Demographics
NPI:1689682833
Name:RATZLAFF, CHRISTOPHER (LMLP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:RATZLAFF
Suffix:
Gender:M
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-1266
Mailing Address - Country:US
Mailing Address - Phone:620-232-0444
Mailing Address - Fax:620-235-7913
Practice Address - Street 1:200 E CENTENNIAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6559
Practice Address - Country:US
Practice Address - Phone:620-231-1068
Practice Address - Fax:620-235-7913
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health