| Doctor Name: | RUTH L CEDAR FACE |
| NPI Number: | 1134469067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAC, CCDC II |
| License Number: | 011077 |
| Business Practice Address: | East Highway 18 Ihs Compound Pine Ridge, SD - 57770 |
| Business Phone Number: | 6058675131 |
| Business Fax Number: | 6058673274 |
| Mailing Address: | P.o. Box 1201, East Highway 18 PINE RIDGE |
| State: | SD |
| Postal Code: | 577700770 |
| Phone Number: | 6058675131 |
| Fax Number: | 6058673274 |
| NPI Enumeration Date: | 03/01/2013 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 011077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |