Individual provider · Type 1 NPI

Sandra Ruggles, LCPC

Professional Counselor · Deerfield, IL

NPI number 1639577943 Active

Practice location

770 Lake Cook Rd, Suite 220
Deerfield, IL 60015

Mailing address

2622 Henry St
Sheboygan, WI 53081

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180006623 (IL)
Professional Counselor Primary 101YP2500X180006623 (IL)

Professional Counselor: Definition to come...

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About NPI 1639577943

Sandra Ruggles, LCPC's National Provider Identifier is 1639577943, issued on Dec 18, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Deerfield, IL. The record was last updated on Dec 18, 2014.