Provider Demographics
NPI:1558483123
Name:KLINGENSMITH, RUTH A (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:A
Last Name:KLINGENSMITH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 N MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-1978
Mailing Address - Country:US
Mailing Address - Phone:330-966-1007
Mailing Address - Fax:
Practice Address - Street 1:931 N MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1978
Practice Address - Country:US
Practice Address - Phone:330-966-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional