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Misty Ruska, BS,ICADC
Addiction (Substance Use Disorder) Counselor in Mccall, Idaho
NPI 1245906999

Misty Ruska is an Addiction (Substance Use Disorder) Counselor based in Mccall, ID and is specialized in Addiction (Substance Use Disorder). Misty Ruska practices in Mccall, ID and has the professional credentials of BS,ICADC. The NPI Number for Misty Ruska is 1245906999 and holds a License No. 11402 (Idaho).

The current practice location address for Misty Ruska is 106 E Park St Ste 100, Mccall, ID and can be reached out via phone at 208-405-5708.

Location: 106 E Park St Ste 100, Mccall, ID, 83638-5064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245906999
Provider Name
Misty Ruska
Credential
BS,ICADC
Provider Entity Type
Individual
Gender
Female
Address
106 E Park St Ste 100, Mccall, ID, 83638-5064
Phone Number
208-405-5708
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46-5601304 05 ID
institution
Provider Business Practice Location Address Details
Address
106 E Park St Ste 100
City
Mccall
State
Idaho
Zip
83638-5064
Phone Number
208-405-5708
Fax Number
person
Provider Business Mailing Address Details
Address
106 E Park St Ste 100
City
Mccall
State
Idaho
Zip
83638-5064
Phone Number
208-405-5708
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
11402 (Idaho)
Definition
Definition to come...
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