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NPI Code Detail

MEDICARE: ELISAVET RUELAS

MEDICARE: ELISAVET RUELAS
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
1101YP2500XProfessional CounselorLPC-24790AZ

General Provider Information

NPI Number : 1699450551
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISAVET RUELAS
Provider Business Mailing Address
First Line : 2222 W PINNACLE PEAK RD STE 220
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1224
Country : US
Telephone Number : 480-347-4480
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W PINNACLE PEAK RD STE 220
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1224
Country : US
Telephone Number : 480-347-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 05/08/2026

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Directions to “ ELISAVET RUELAS ” Practice Location

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