Provider Demographics
NPI:1417450347
Name:RUEHLING, CHRISTINE ANN (LADC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANN
Last Name:RUEHLING
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8905 WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-3139
Mailing Address - Country:US
Mailing Address - Phone:952-583-0320
Mailing Address - Fax:
Practice Address - Street 1:8905 WOODHILL DR
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-3139
Practice Address - Country:US
Practice Address - Phone:952-583-0320
Practice Address - Fax:952-232-1090
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303746101YA0400X, 405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No405300000XOther Service ProvidersPrevention Professional