Individual
CAMILLE CRYSTAL RUYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(719) 580-4330
Mailing address
PO BOX 1222, ALAMOSA, CO 81101-1222
(719) 401-1080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017811
CO
Other
Enumeration date
03/04/2022
Last updated
02/28/2023
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