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NPI Code Detail

MEDICARE: CARA RUIZ LCPC

MEDICARE: CARA RUIZ LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8331042ID

General Provider Information

NPI Number : 1194314294
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA RUIZ LCPC
Provider Business Mailing Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Provider Business Practice Location Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 01/28/2026

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Directions to “ CARA RUIZ LCPC” Practice Location

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