Individual
CHRISTIAN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6305
(530) 573-7911
Mailing address
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
06/25/2024
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