Individual
ADRIAN CARLOS RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 RIGG ST, SANTA CRUZ, CA 95060-4203
(831) 423-3890
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1244120217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XEH906388190
BLUE CALIFORNIA
CA
Enumeration date
06/15/2018
Last updated
06/15/2018
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