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Individual

RANDY LYLE RUHGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLMHP, PMSW

Contact information

Practice address
8790 F ST STE 527, OMAHA, NE 68127-1538
(402) 660-1987
Mailing address
8790 F ST STE 527, OMAHA, NE 68127-1538
(402) 660-1987

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
12221
NE
101YM0800X
Mental Health Counselor
Primary
12221
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026865300
NE
Enumeration date
06/15/2020
Last updated
10/19/2022
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