Individual provider · Type 1 NPI

Ruslan Ivanov, MA

Mental Health Counselor · Indiana, PA

NPI number 1457785016 Active

Practice location

793 Old Route 119 Hwy N
Indiana, PA 15701-1372

Fax (724) 465-6379

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457785016

Ruslan Ivanov, MA's National Provider Identifier is 1457785016, issued on Aug 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indiana, PA. The record was last updated on Aug 30, 2013.