Ruud, Tana

Ruud, Tana is an individual health care provider with primary practice located at 150 N Ocotillo Dr , Apache Junction AZ 85220-3740. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ruud, Tana can be contacted via phone (480) 983-0065.

Contact Information

Primary practice address
150 N Ocotillo Dr Apache Junction AZ 85220-3740
Phone: (480) 983-0065
Fax: (480) 288-5339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-10333 Arizona

Profile Details

NPI number 1417015686
LBN Legal business name Ruud, Tana
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417015686 NPPES
Arizona MEDICAID 752502

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