Individual
RUTHIE LEE STARK - REDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1100 NASA PWKY, SUITE 201 A, HOUSTON, TX 77598-7759
(281) 904-6512
Mailing address
9001 GLACIER AVE APT 226, TEXAS CITY, TX 77591-3017
(440) 231-7096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
M.S. ADDICTION COUNSELOR
TX
Enumeration date
02/02/2020
Last updated
07/24/2022
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