Individual
JUAN R RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-5011
(360) 374-6691
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-5011
(360) 374-6691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00057250
WA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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