| Doctor Name: | MRS. KATHERINE ANNE RUFLE |
| NPI Number: | 1588948731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W., L.C.S.W. |
| License Number: | 2009018950 |
| Business Practice Address: | 2413 S Lakeridge Ct Lake Saint Louis, MO - 633672523 |
| Business Phone Number: | 3144027576 |
| Business Fax Number: | |
| Mailing Address: | 2413 S Lakeridge Ct, LAKE SAINT LOUIS |
| State: | MO |
| Postal Code: | 633672523 |
| Phone Number: | 3144027576 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2009018950 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |