RUTH ALICE HOLMQUIST APSW CSAC CADCIII NPI 1851428528

NPI Information

NPI: 1851428528
Provider Name: RUTH ALICE HOLMQUIST, APSW CSAC CADCIII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
571 COUNTY RD A
GREEN LAKE, WI
ZIP 54941
Phone: (920) 294-4070
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Ruth Alice Holmquist, APSW CSAC CADCIII is an addiction (substance use disorder) counselor in Green Lake, WI. Ruth Alice Holmquist, APSW CSAC CADCIII NPI is 1851428528. 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:

571 COUNTY RD A
GREEN LAKE, WI
ZIP 54941-798
Phone: (920) 294-4070
Fax: (920) 294-4139

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/17/2010.

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	101YM0800X	Counselor	Mental Health	356 121	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12971 132	WISCONSIN	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	000884304	MEDICARE ID-TYPE UNSPECIFIED
2	40942000	MEDICAID	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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