Individual provider · Type 1 NPI
Kimberly Ruthardt
Professional Counselor · Lubbock, TX
NPI number
1366968075
Active
Practice location
6610 Quaker Ave
Lubbock, TX 79413
Fax (806) 743-9097
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Other practice locations
- 6610 Quaker Ave Stop 7118, Lubbock, TX 79413 · (806) 743-4055
- 5006 100th St, Lubbock, TX 79424-5718 · (806) 549-1593
- 6610 Quaker Ave, Lubbock, TX 79413 · (806) 743-4270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 73921 (TX) |
| Professional Counselor Primary | 101YP2500X | 73921 (TX) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1366968075
Kimberly Ruthardt's National Provider Identifier is 1366968075, issued on Aug 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on May 8, 2019.