Individual
EILEN JACOBO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3300 TRUXTUN AVE, BAKERSFIELD, CA 93301-3137
(661) 868-8224
Mailing address
5603 RIPPLE COVE WAY, BAKERSFIELD, CA 93313-5356
(661) 868-1727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
124182
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2022
Last updated
10/02/2024
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