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Individual
ROBIN RUTAN
Active
Individual
ROBIN RUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCCS, LSW, LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC991726
OH
101YP2500X
Professional Counselor
E.080003LPCC
OH
104100000X
Social Worker
Primary
S.0013326
OH
Other
Enumeration date
02/10/2016
Last updated
04/02/2022
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