Individual
JOSE A RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7666
(262) 548-7656
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7666
(262) 548-7656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
691-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42138400
—
WI
Enumeration date
01/22/2007
Last updated
01/22/2014
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