RUTH EVELYNN WORTMAN REG COUNSELOR CCAPP NPI 1811583065

NPI Information

NPI: 1811583065
Provider Name: RUTH EVELYNN WORTMAN, REG COUNSELOR CCAPP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1219 10TH ST
EUREKA, CA
ZIP 95501
Phone: (707) 443-0514
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Ruth Evelynn Wortman, REG COUNSELOR CCAPP is an addiction (substance use disorder) counselor in Eureka, CA. Ruth Evelynn Wortman, REG COUNSELOR CCAPP NPI is 1811583065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1219 10TH ST
EUREKA, CA
ZIP 95501-024
Phone: (707) 443-0514
Fax: (707) 442-1191

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1409001120	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R1409001120	OTHER	CALIFORNIA	CCAPP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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