Individual
DEBRA RUISARD
Active
Individual
DEBRA RUISARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00161800
NJ
104100000X
Social Worker
44SL05395200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05373100
NJ
Other
Enumeration date
11/16/2007
Last updated
06/23/2022
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