Individual
SERGIO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MDFT, PCI
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 299-3646
Mailing address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 299-3646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC4629
CA
Other
Enumeration date
07/16/2013
Last updated
11/20/2025
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