Individual
AMBER RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
(323) 221-2517
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
(323) 221-2517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1406531020
CA
101YP2500X
Professional Counselor
11765
CA
106H00000X
Marriage & Family Therapist
Primary
132916
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2020
Last updated
07/06/2022
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