Provider Demographics
NPI:1053056572
Name:RUITER, ALLISON JULY (MA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JULY
Last Name:RUITER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:JULY
Other - Last Name:COLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:214 W 15TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2212
Mailing Address - Country:US
Mailing Address - Phone:720-988-4116
Mailing Address - Fax:
Practice Address - Street 1:214 W 15TH ST APT 201
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2212
Practice Address - Country:US
Practice Address - Phone:720-988-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health