Paul David Hart Ruthenbeck, LADC

NPI #1720436231 in Northfield, Minnesota

Provider Information

NPI Number: 1720436231
Entity Type: Individual
Name: Paul David Hart Ruthenbeck, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 401 DIVISION ST S
Address 2: SUITE A
City: Northfield
State: Minnesota
ZIP Code: 55057-2095
Phone: (507) 664-9407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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