Individual
IRISEMA Y RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCDC
Contact information
Practice address
1633 18TH ST, CORPUS CHRISTI, TX 78404-3463
(361) 887-7070
(361) 887-7030
Mailing address
1633 18TH ST, CORPUS CHRISTI, TX 78404-3463
(361) 887-7070
(361) 887-7030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13130
TX
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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