Individual
MR. VICENTE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1313 W WINE COUNTRY RD, GRANDVIEW, WA 98930-1043
(509) 882-3273
Mailing address
301 FORREST RD, GRANDVIEW, WA 98930-9758
(509) 882-3992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005549
WA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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