Doctor Name: | RUTH KILBURN-DOXEY |
NPI Number: | 1093134629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6401012602 |
Business Practice Address: | 651 N State St Caro, MI - 487231543 |
Business Phone Number: | 9896735700 |
Business Fax Number: | 9896722555 |
Mailing Address: | 443 N State St, CARO |
State: | MI |
Postal Code: | 487231539 |
Phone Number: | 9896726160 |
Fax Number: | 9896725649 |
NPI Enumeration Date: | 04/10/2014 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401012602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |