Provider Demographics
NPI:1669027876
Name:RUFF, RACHAEL (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:RUFF
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14343 LAKEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4533
Mailing Address - Country:US
Mailing Address - Phone:720-882-8026
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD STE 109A
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6140
Practice Address - Country:US
Practice Address - Phone:720-319-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
COLPCC.0020020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician