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NPI Code Detail

MEDICARE: HOLLIE RUGER

MEDICARE: HOLLIE RUGER
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
1101YM0800XMental Health Counselor306702TX

General Provider Information

NPI Number : 1730039348
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLIE RUGER
Provider Business Mailing Address
First Line : 307 W COTA ST
Second Line :
City : SHELTON
State : WA
Zip : 98584-2265
Country : US
Telephone Number : 360-205-8001
Fax Number :
Provider Business Practice Location Address
First Line : 307 W COTA ST
Second Line :
City : SHELTON
State : WA
Zip : 98584-2265
Country : US
Telephone Number : 360-205-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ HOLLIE RUGER ” Practice Location

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