Individual
JOEL RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LADC
Contact information
Practice address
704 N OAK AVE, ADA, OK 74820-3267
(580) 332-3001
(580) 332-3652
Mailing address
704 N OAK AVE, ADA, OK 74820-3267
(580) 332-3001
(580) 332-3652
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
542
OK
101YM0800X
Mental Health Counselor
1864
OK
Other
Enumeration date
03/20/2007
Last updated
06/25/2010
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