Individual provider · Type 1 NPI

Derek Rugsaken, LPCC

Professional Counselor · Espanola, NM

NPI number 1083080477 Active

Practice location

1200 N Paseo De Onate
Espanola, NM 87532-2687

Call (765) 748-6139 Map

Mailing address

PO Box 151
Dixon, NM 87527-0151

Other practice locations

  • 835 Spruce St Ste B, Espanola, NM 87532-3455 · (505) 699-9420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XCCMH0219111 (NM)

Professional Counselor: Definition to come...

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About NPI 1083080477

Derek Rugsaken, LPCC's National Provider Identifier is 1083080477, issued on Aug 19, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Espanola, NM. The record was last updated on Feb 9, 2022.