Individual
MR. PAUL E. RUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW (LICSW & LCSW-C)
Contact information
Practice address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5503
(202) 641-3981
Mailing address
11809 STONINGTON PL, SILVER SPRING, MD 20902-1616
(301) 754-3838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13575
MD
101YM0800X
Mental Health Counselor
Primary
LC300557
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11233018
CAQH
DC
01
—
1698133 & PIN # 7248
AETNA
DC
01
—
64239503
CAREFIRST OF MARYLAND (NON-PAR PROVIDER)
DC
Enumeration date
09/15/2008
Last updated
02/27/2013
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