Provider Demographics
NPI:1972002244
Name:PLANTE, RUTH ANN (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:PLANTE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8401 WAYZATA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1377
Mailing Address - Country:US
Mailing Address - Phone:763-544-1006
Mailing Address - Fax:763-544-1008
Practice Address - Street 1:1107 HAZELTINE BLVD STE 121
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1065
Practice Address - Country:US
Practice Address - Phone:952-361-3360
Practice Address - Fax:952-513-7968
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01719101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty