Provider Demographics
NPI:1902221161
Name:RUIZ, ANNE E (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:E
Last Name:RUIZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:FOJUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:600 W VIRGINIA ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1500
Mailing Address - Country:US
Mailing Address - Phone:414-276-3122
Mailing Address - Fax:414-276-3124
Practice Address - Street 1:600 W VIRGINIA ST
Practice Address - Street 2:SUITE 502
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1500
Practice Address - Country:US
Practice Address - Phone:414-276-3122
Practice Address - Fax:414-276-3124
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5642-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100043752Medicaid