Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 3510-A | NC |
NPI | 1003243080 |
---|---|
Provider Name | Raymond Robbin Ruff |
First Address | Asheville, NC 28801-2483 |
Second Address | Asheville, NC 28801-2483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2013 |
Last Update Date | 04/10/2013 |