Doctor Name: | MRS. RUTH SUSAN MACNOFSKY |
NPI Number: | 1285879809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 0528 |
Business Practice Address: | 6 Las Huertas Rd Placitas, NM - 870439127 |
Business Phone Number: | 5058671430 |
Business Fax Number: | |
Mailing Address: | 6 Las Huertas Rd, PLACITAS |
State: | NM |
Postal Code: | 870439127 |
Phone Number: | 5058671430 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |