Provider Demographics
NPI:1811425861
Name:RITCHEY, KATHERINE ADELLE (LCPC, LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ADELLE
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 PARKLAND DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2642
Mailing Address - Country:US
Mailing Address - Phone:703-517-6009
Mailing Address - Fax:
Practice Address - Street 1:8925 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-1742
Practice Address - Country:US
Practice Address - Phone:703-517-6009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC7217101YM0800X
VA0701007101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health