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NPI Code Detail

MEDICARE: ELIZABETH L RUH LPCC-S

MEDICARE: ELIZABETH L RUH LPCC-S
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 CounselorE.0002780-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1188839-000OTHERMAGELLAN HEALTH SERVICE

General Provider Information

NPI Number : 1659496768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH L RUH LPCC-S
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-475-4449
Fax Number : 419-517-1399
Provider Business Practice Location Address
First Line : 800 COMMERCE DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5256
Country : US
Telephone Number : 419-872-2419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 06/24/2024

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Directions to “ ELIZABETH L RUH LPCC-S” Practice Location

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