Doctor Name: | BRENDA RUF |
NPI Number: | 1174683460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHP, LADC, NCAC |
License Number: | 2622 |
Business Practice Address: | 110 N Bailey Ave North Platte, NE - 691015436 |
Business Phone Number: | 3083452770 |
Business Fax Number: | 3083452557 |
Mailing Address: | 110 N Bailey Ave, NORTH PLATTE |
State: | NE |
Postal Code: | 691015436 |
Phone Number: | 3083452770 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2006 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2622 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |