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Mr. Glen Ruderman
Mental Health Counselor in Springfield, Oregon
NPI 1184481889

Glen Ruderman is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Glen Ruderman practices in Springfield, OR. The NPI Number for Glen Ruderman is 1184481889 and holds a License No. (Oregon).

The current practice location address for Glen Ruderman is 1705 Centennial Blvd Ste 2, Springfield, OR and can be reached out via phone at 541-818-0009.

Location: 1705 Centennial Blvd Ste 2, Springfield, OR, 97477-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184481889
Provider Name
Glen Ruderman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1705 Centennial Blvd Ste 2, Springfield, OR, 97477-3320
Phone Number
541-818-0009
Fax Number
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1705 Centennial Blvd Ste 2
City
Springfield
State
Oregon
Zip
97477-3320
Phone Number
541-818-0009
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Centennial Blvd Ste 2
City
Springfield
State
Oregon
Zip
97477-3320
Phone Number
541-818-0009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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