Ruth L Cedar Face, MAC, CCDC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pine Ridge, SD
NPI 1134469067 · NPPES record last updated Mar 1, 2013
Key facts
- NPI
- 1134469067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 011077 (SD)
- Practice address
- East Highway 18
IHS Compound
Pine Ridge, SD 57770 - Phone
- (605) 867-5131
- Fax
- (605) 867-3274
- NPI assigned
- Mar 1, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011077 | SD | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 011077 | SD | Yes |
Addresses
Primary practice location
East Highway 18
IHS Compound
Pine Ridge, SD 57770
Mailing address
P.O. Box 1201
East Highway 18
Pine Ridge, SD 57770-0770
Phone (605) 867-5131
Other providers in Pine Ridge, SD
- Hayley Marie Brunsch
- Hector Ivan Burgos
- Sarah R Caldwell
- Glenda Kay Capler
- Karen L Carpio
- William C Charles
- Melva A Clifford
- Mary Elizabeth Colhoff
- Cathy T Combs
- Julie Coomes
All providers in Pine Ridge, SD · Addiction (Substance Use Disorder) Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.