Individual
MS. LINDA JORDAN RUANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1220 E ELM ST, MEDICAL PROFESSIONAL BUILDING #1, SUITE 140, LIMA, OH 45804-2850
(419) 695-8010
(419) 695-0565
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0003456-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388098
ANTHEM
OH
01
—
E.0003456-SUPV
PCC LICENSE
OH
Enumeration date
04/26/2006
Last updated
07/08/2007
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