Individual
MARY M RUHLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
705 DOUGLAS,, SUITE325, BENSON BLDG, SIOUX CITY, IA 51101-1606
(712) 277-3200
(712) 277-3208
Mailing address
1339 NODAWAY RD, JACKSON, NE 68743-3077
(402) 632-7202
(712) 277-3208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
92026
IA
1041C0700X
Clinical Social Worker
Primary
01284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03727
BCBS
IA
01
—
103277513
UBH
IA
01
—
10827
MIDLANDS CHOICE
IA
01
—
127712
VALUE OPTIONS
IA
01
—
1326030545
NIP
—
01
—
203761197
PRINCIPAL
IA
05
—
203761197
—
IA
01
—
203761197001
APS
IA
05
—
2190223
—
IA
01
—
253668
MHN
IA
Enumeration date
08/16/2005
Last updated
07/19/2017
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