Individual
RUCHITA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 W BROADWAY STE 104, MONONA, WI 53713-3700
(608) 405-3002
Mailing address
1955 W BROADWAY STE 104, MONONA, WI 53713-3700
(608) 405-3002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17263-130
WI
101YP2500X
Professional Counselor
Primary
6487-125
WI
106H00000X
Marriage & Family Therapist
440-228
WI
Other
Enumeration date
05/26/2015
Last updated
05/23/2025
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