Provider Demographics
NPI:1124743117
Name:VAN RULER, ANDREW DEAN (MS, CRC, LADC, LPCC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:DEAN
Last Name:VAN RULER
Suffix:
Gender:M
Credentials:MS, CRC, LADC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3302
Mailing Address - Country:US
Mailing Address - Phone:612-767-0300
Mailing Address - Fax:
Practice Address - Street 1:604 5TH ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3256
Practice Address - Country:US
Practice Address - Phone:507-282-2500
Practice Address - Fax:507-282-6036
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4685101YM0800X
MN306105101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health