Individual
ANDRE RUTH-EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CACI 1129
Contact information
Practice address
3029 MLK JR AVE SE, WASHINGTON, DC 20032-2506
(202) 696-6146
Mailing address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(202) 696-6146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1129
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1129
DC
101YP2500X
Professional Counselor
1129
DC
Other
Enumeration date
09/23/2020
Last updated
03/22/2023
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