Individual
RUTH I MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CADC
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1768-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1768-132
LICENSE
WI
05
—
43561400
—
WV
Enumeration date
05/14/2007
Last updated
02/10/2021
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