Doctor Name: | MS. JESSICA ANN VINES-RITCHEY |
NPI Number: | 1124265145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C., C.R.C. |
License Number: | 19129 |
Business Practice Address: | 111 Houston St Tomball, TX - 773754759 |
Business Phone Number: | 2812559922 |
Business Fax Number: | 2812559922 |
Mailing Address: | 13121 Louetta Rd, Pmb 915 CYPRESS |
State: | TX |
Postal Code: | 77429 |
Phone Number: | 2818576733 |
Fax Number: | 2812510705 |
NPI Enumeration Date: | 01/13/2009 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 19129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |