Individual provider · Type 1 NPI

Kathy Marie Rupe

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1871781229 Active

Practice location

103 Modesto Ave
Modesto, CA 95354-0414

Call (209) 527-4597 Map

Mailing address

1824 Skylane Way
Modesto, CA 95350-2654

Specialties and licenses

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

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

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About NPI 1871781229

Kathy Marie Rupe's National Provider Identifier is 1871781229, issued on Oct 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Oct 11, 2007.