Provider Demographics
NPI:1609587856
Name:SOLIS, RUTH NAOMI (LPC-A)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:NAOMI
Last Name:SOLIS
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 RAMSGATE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1630
Mailing Address - Country:US
Mailing Address - Phone:210-273-9065
Mailing Address - Fax:
Practice Address - Street 1:4002 RAMSGATE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1630
Practice Address - Country:US
Practice Address - Phone:210-273-9065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional