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NPI Code Detail

MEDICARE: JESSICA MARIE RUIZ LPC

MEDICARE: JESSICA MARIE RUIZ 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
1101YP2500XProfessional Counselor71427TX

General Provider Information

NPI Number : 1922941517
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE RUIZ LPC
Provider Business Mailing Address
First Line : 62 CHESTNUT MEADOW DR
Second Line :
City : CONROE
State : TX
Zip : 77384-1407
Country : US
Telephone Number : 210-391-3908
Fax Number :
Provider Business Practice Location Address
First Line : 62 CHESTNUT MEADOW DR
Second Line :
City : CONROE
State : TX
Zip : 77384-1407
Country : US
Telephone Number : 210-391-3908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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