Chris Ruder, MFT

Individual provider Active NPI Marriage & Family Therapist · Whitehall, WI

NPI 1285029280 · NPPES record last updated Apr 6, 2015

Key facts

NPI
1285029280
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
442-228 (WI)
Practice address
18484 Blair St
Whitehall, WI 54773-8717
Phone
(715) 318-4441
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
442-228WIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 442-228 WI Yes

Addresses

Primary practice location

18484 Blair St
Whitehall, WI 54773-8717

Mailing address

1711 Emery St
Eau Claire, WI 54701-4306

Other names

  • Chris Ruder-Vasconez Other name

Other providers in Whitehall, WI

All providers in Whitehall, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.