Individual
MATTHEW RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
507 S NELSON ST, GREENVILLE, MI 48838-2197
(616) 754-9420
Mailing address
1285 WHEELER RD, AUBURN, MI 48611-9706
(989) 239-9063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022316
MI
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/02/2017
Last updated
02/14/2024
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