Individual
MS. RUTHANN M MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617
(315) 386-2189
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19441
NY
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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