Provider Demographics
NPI:1437755642
Name:RUEHL, CLAUDETTE MARIE (LC-ADC)
Entity Type:Individual
Prefix:MISS
First Name:CLAUDETTE
Middle Name:MARIE
Last Name:RUEHL
Suffix:
Gender:F
Credentials:LC-ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 GERTRUDE DR
Mailing Address - Street 2:
Mailing Address - City:SUNDERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20689-9320
Mailing Address - Country:US
Mailing Address - Phone:301-704-6933
Mailing Address - Fax:240-823-9352
Practice Address - Street 1:975 SOLOMONS ISLAND RD N
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3917
Practice Address - Country:US
Practice Address - Phone:877-467-5628
Practice Address - Fax:410-414-8092
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA2960101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)