person
Ruth Evelynn Wortman, REGCOUNSELORCCAPP
Addiction (Substance Use Disorder) Counselor in Eureka, California
NPI 1811583065

Ruth Evelynn Wortman is an Addiction (Substance Use Disorder) Counselor based in Eureka, CA and is specialized in Addiction (Substance Use Disorder). Ruth Evelynn Wortman practices in Eureka, CA and has the professional credentials of REGCOUNSELORCCAPP. The NPI Number for Ruth Evelynn Wortman is 1811583065 and holds a License No. R1409001120 (California).

The current practice location address for Ruth Evelynn Wortman is 1219 10Th St, Eureka, CA and can be reached out via phone at 707-443-0514 and via fax at 707-442-1191.

Location: 1219 10Th St, Eureka, CA, 95502-6310
person
Provider Profile Details
NPI Number
1811583065
Provider Name
Ruth Evelynn Wortman
Credential
REGCOUNSELORCCAPP
Provider Entity Type
Individual
Gender
Female
Address
1219 10Th St, Eureka, CA, 95502-6310
Phone Number
707-443-0514
Fax Number
707-442-1191
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1409001120 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
1219 10Th St
City
State
Zip
95501-2024
Phone Number
707-443-0514
Fax Number
707-442-1191
person
Provider Business Mailing Address Details
Address
1219 10Th St
City
State
Zip
95501-2024
Phone Number
707-443-0514
Fax Number
707-442-1191
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1409001120 (California)
Definition
Definition to come...
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