Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 180011980 | IL |
NPI | 1003378258 |
---|---|
Provider Name | Janet Ann Rutter |
First Address | Paris, IL 61944-2210 |
Second Address | Paris, IL 61944-2210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2019 |
Last Update Date | 04/04/2019 |