NPI 1063877546

Larry Richard Ruiz, CSAC

Practitioner Addiction (Substance Use Disorder) Counselor Wailuku, HI

Practice location

Address: 1787 Wili PA Loop STE 7, Wailuku, HI 96793-1271
Phone: (808) 283-0737
Mailing address: PO Box 81690, Haiku, HI 96708-1690

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1233-05 (HI)

Other Counselor providers in Hawaii →

Registry record

NPI: 1063877546
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.