DEREK RUIZ

MADISON, WI
NPI1245788082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178010196)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
Mr. DEREK RUIZ CRC, LPC
49 KESSEL CT
MADISON, WI 53711-6275
Phone number: 608-280-2636
Mailing Address
Mr. DEREK RUIZ CRC, LPC
25 KESSEL CT
MADISON, WI 53711-6227
Phone number: 608-280-2636