Provider Demographics
NPI:1063438836
Name:RIFFELL, MONICA ANN (CT)
Entity type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:ANN
Last Name:RIFFELL
Suffix:
Gender:F
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 BELVEDERE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1701
Mailing Address - Country:US
Mailing Address - Phone:513-421-3146
Mailing Address - Fax:
Practice Address - Street 1:4440 GLENESTE-WITHAMSVILLE RD. SUITE 100
Practice Address - Street 2:FAMILY SERVICE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245
Practice Address - Country:US
Practice Address - Phone:513-354-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOUNSELOR TRAINEE101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional