Provider Demographics
NPI:1831316165
Name:RITCHEY, WILLIAM T (BA, CADC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:RITCHEY
Suffix:
Gender:M
Credentials:BA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:HOLTON
Mailing Address - State:KS
Mailing Address - Zip Code:66436-1941
Mailing Address - Country:US
Mailing Address - Phone:785-851-7403
Mailing Address - Fax:
Practice Address - Street 1:406 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66508-1496
Practice Address - Country:US
Practice Address - Phone:785-562-3907
Practice Address - Fax:785-562-3930
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100097950CMedicaid