MEDICARE: DEBORAH KAY RUIZ MS, LPC

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
1	101YP2500X	Professional Counselor	2508	CO

General Provider Information

NPI Number	:	1699930479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH KAY RUIZ MS, LPC

Provider Business Mailing Address
First Line	:	2860 S CIRCLE DR
Second Line	:	SUITE 115
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4113
Country	:	US
Telephone Number	:	719-210-7181
Fax Number	:	719-540-0174

Provider Business Practice Location Address
First Line	:	2860 S CIRCLE DR
Second Line	:	SUITE 115
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4113
Country	:	US
Telephone Number	:	719-210-7181
Fax Number	:	719-540-0174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	11/07/2013

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