| Doctor Name: | RUTHE LAURORE |
| NPI Number: | 1720494628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701005858 |
| Business Practice Address: | 7508 Harvest Road Prince George, VA - 238752614 |
| Business Phone Number: | 8044585500 |
| Business Fax Number: | 8044585501 |
| Mailing Address: | 3000 Rolling Hill Dr, NORTH PRINCE GEORGE |
| State: | VA |
| Postal Code: | 238608001 |
| Phone Number: | 8042557667 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2014 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701005858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |