Doctor Name: | MR. STEVEN L RUOHOMAKI |
NPI Number: | 1447412838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 149-003711 |
Business Practice Address: | 1584 W Crystal Rock Ct Unit 2-c Round Lake Beach, IL - 600734642 |
Business Phone Number: | 8473709106 |
Business Fax Number: | |
Mailing Address: | 1584 W Crystal Rock Ct, Unit 2-c ROUND LAKE BEACH |
State: | IL |
Postal Code: | 600734642 |
Phone Number: | 8473709106 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149-003711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |