Individual
MS. DIANA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LCPC
Contact information
Practice address
6232 N PULASKI RD, CHICAGO, IL 60646-5132
(312) 451-6154
Mailing address
701 PIPER LN, PROSPECT HEIGHTS, IL 60070-3613
(847) 636-9836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009660
IL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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