person
Mrs. Ruby Broadbus Cook
Professional Counselor in Richmond, Virginia
NPI 1497859557

Ruby Broadbus Cook is a Professional Counselor based in Richmond, VA and is specialized in Professional. Ruby Broadbus Cook practices in Richmond, VA. The NPI Number for Ruby Broadbus Cook is 1497859557 and holds a License No. 0710000849 (Virginia).

The current practice location address for Ruby Broadbus Cook is 3113 W Marshall Street Suite 1C, Richmond, VA and can be reached out via phone at 804-377-3955 and via fax at 804-377-3956. You can also correspond with Ruby Broadbus Cook through the mailing address at 3009 EDGEWOOD AVENUE, RICHMOND, VA - 23230 (mailing address contact number: 804-321-7240).

Location: 3113 W Marshall Street Suite 1C, Richmond, VA, 23230
person
Provider Profile Details
NPI Number
1497859557
Provider Name
Ruby Broadbus Cook
Credential
Provider Entity Type
Individual
Gender
Female
Address
3113 W Marshall Street Suite 1C, Richmond, VA, 23230
Phone Number
804-377-3955
Fax Number
804-377-3956
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054100501 05 VA
institution
Provider Business Practice Location Address Details
Address
3113 W Marshall Street Suite 1C
City
State
Zip
23230
Phone Number
804-377-3955
Fax Number
804-377-3956
person
Provider Business Mailing Address Details
Address
3009 Edgewood Avenue
City
State
Zip
23230
Phone Number
804-321-7240
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0701002780 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0710000849 (Virginia)
Definition
Definition to come...
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