Provider Demographics
NPI:1922541705
Name:RITTER, LAUREL (LMHC, NCC, MSED)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:
Last Name:RITTER
Suffix:
Gender:F
Credentials:LMHC, NCC, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 BRADY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-4708
Mailing Address - Country:US
Mailing Address - Phone:309-507-2422
Mailing Address - Fax:
Practice Address - Street 1:1706 BRADY ST STE 204
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-4708
Practice Address - Country:US
Practice Address - Phone:563-293-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health