Individual
DAVID ALAN RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
277 OCEAN DR E, STAMFORD, CT 06902-8219
(203) 588-0638
Mailing address
277 OCEAN DR E, STAMFORD, CT 06902-8219
(203) 588-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742681
NBCC
CT
Enumeration date
12/10/2016
Last updated
12/10/2016
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