Provider Demographics
NPI:1164812384
Name:RUTH, CLAIRE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:RUTH
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 MCDOUGLE LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-7502
Mailing Address - Country:US
Mailing Address - Phone:704-300-0690
Mailing Address - Fax:
Practice Address - Street 1:490 NC 42 W
Practice Address - Street 2:SUITE 203
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:704-300-0690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist