Individual
MAYRA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 955-1625
Mailing address
PO BOX 572, MIRA LOMA, CA 91752-0572
(323) 896-5055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC12229
CA
Other
Enumeration date
10/31/2022
Last updated
11/15/2022
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