Provider Demographics
NPI:1477929115
Name:PASCALE-JONES, RUTH (LMFT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:PASCALE-JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PLACERVILLE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-4200
Mailing Address - Country:US
Mailing Address - Phone:775-223-1065
Mailing Address - Fax:916-644-6460
Practice Address - Street 1:670 PLACERVILLE DR STE 2
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667
Practice Address - Country:US
Practice Address - Phone:530-644-2412
Practice Address - Fax:530-621-9804
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2018-12-12
Deactivation Date:2018-05-15
Deactivation Code:
Reactivation Date:2018-06-05
Provider Licenses
StateLicense IDTaxonomies
CA103367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health