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NPI Code Detail

MEDICARE: CHRISTINA ANN KUPFER RUUD MA, LPCC

MEDICARE: CHRISTINA ANN KUPFER RUUD MA, LPCC
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 Counselor5214MN

General Provider Information

NPI Number : 1124741921
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ANN KUPFER RUUD MA, LPCC
Provider Business Mailing Address
First Line : 2365 ARIEL ST N
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-2248
Country : US
Telephone Number : 612-895-4575
Fax Number :
Provider Business Practice Location Address
First Line : 2365 ARIEL ST N
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-2248
Country : US
Telephone Number : 612-895-4575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2022
Last Update Date : 02/06/2026

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