# TERESA C RUIZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134666845
- **Gender:** F
- **Credential:** LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LPC009411 | GA | Yes |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 03/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003185377A | — | GA |