# RUTH TRUDEAU, LMFT, LADC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487990529
- **Authorized official:** RUTH TRUDEAU LMFT, LADC (THERAPIST)
- **Authorized official phone:** (860) 435-3505

## Contact information

- **Practice address:** 15 PORTER ST, LAKEVILLE, CT 06039-1214
- **Practice address phone:** (860) 435-3505
- **Practice address fax:** (860) 435-3505
- **Mailing address:** PO BOX 4, LAKEVILLE, CT 06039-0004
- **Mailing address phone:** (860) 435-3505
- **Mailing address fax:** (860) 435-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 000318 | CT | — |
| 106H00000X | Marriage & Family Therapist | 000601 | CT | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 12/18/2012