Individual
MANUEL ANTONIO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
8819 COTTONGRASS ST, WALDORF, MD 20603-4942
(773) 510-1730
Mailing address
8819 COTTONGRASS ST, WALDORF, MD 20603-4942
(773) 510-1730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC13201
MD
Other
Enumeration date
03/30/2023
Last updated
06/01/2023
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