MS. KATHLEEN ANNE RUFFULO


Address: 1212 N Ashbel Ave, Berkeley, IL 60163-1118
Phone: 7084939710

MS. KATHLEEN ANNE RUFFULO (NPI# 1972856839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972856839
Entity Type Individual
Full Name MS. KATHLEEN ANNE RUFFULO
Credential LCPC
Practice Address 1212 N Ashbel Ave
Berkeley
IL 60163-1118
Practice Telephone 7084939710
Mailing Telephone 7084939710
Enumeration Date 2012-10-16
Last Update Date 2012-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180.008338 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1212 N ASHBEL AVE
City BERKELEY
State IL
Zip Code 60163-1118

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1063573277 Michael Anthony Esposito Dentist 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 2006-12-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1083108575 Romy-michelle Alexandra Unger Counselor 2838 Mcgee Ave Apt A, Berkeley, CA 94703-2066 2018-06-18
1154824126 Stephanie Lemus Counselor 2484 Shattuck Ave Ste 201, Berkeley, CA 94704-2076 2018-03-15
1215455761 Christine Libbey Counselor 1980 Hopkins St, Berkeley, CA 94707-2634 2017-09-05
1205371994 Hayley Elizabeth Liddle Counselor 1533b Prince St, Berkeley, CA 94703-2309 2017-01-04
1790158038 Utah Powell Counselor 1422 Fairview St, Berkeley, CA 94702-2716 2015-11-09
1437550720 Paulina Montes Counselor 2540 Grant St, Berkeley, CA 94703-1948 2014-09-05
1013318344 Lyudmila Kuznetsova Counselor 1922 Stuart St, Berkeley, CA 94703-2215 2014-09-05
1801144068 Lee B. Townsend Counselor 1649 Hopkins St, Berkeley, CA 94707-2712 2012-08-20
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Competitor

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City BERKELEY
Zip Code 60163

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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