Organization
RUTH TRUDEAU, LMFT, LADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH TRUDEAU LMFT, LADC (THERAPIST)
(860) 435-3505
Entity
Organization
Contact information
Practice address
15 PORTER ST, LAKEVILLE, CT 06039-1214
(860) 435-3505
(860) 435-3505
Mailing address
PO BOX 4, LAKEVILLE, CT 06039-0004
(860) 435-3505
(860) 435-3505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000318
CT
106H00000X
Marriage & Family Therapist
Primary
000601
CT
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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