Provider Demographics
NPI:1396025722
Name:RUHLEN, CAROLYN R (LPC, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:R
Last Name:RUHLEN
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10707 SPOTSYLVANIA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-2682
Mailing Address - Country:US
Mailing Address - Phone:540-760-5708
Mailing Address - Fax:
Practice Address - Street 1:10707 SPOTSYLVANIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2682
Practice Address - Country:US
Practice Address - Phone:540-760-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003364101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional