Individual provider · Type 1 NPI

Debra S. Rupp, MSED, LADC UNDERSUP

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1023390002 Active

Practice location

2442 Mohawk Blvd
Tulsa, OK 74110-1519

Fax (918) 430-0995

Mailing address

P.o Box 580700
Tulsa, OK 74158

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLADC1001 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC5017 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023390002

Debra S. Rupp, MSED, LADC UNDERSUP's National Provider Identifier is 1023390002, issued on Sep 15, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Sep 6, 2013.