Provider Demographics
NPI:1447582010
Name:RUIZ-MACIAS, NOHEMI (MFT INTERN)
Entity Type:Individual
Prefix:MRS
First Name:NOHEMI
Middle Name:
Last Name:RUIZ-MACIAS
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-4607
Mailing Address - Country:US
Mailing Address - Phone:562-726-1918
Mailing Address - Fax:
Practice Address - Street 1:9901 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3843
Practice Address - Country:US
Practice Address - Phone:562-207-4272
Practice Address - Fax:562-207-4279
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 66565106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist