Provider Demographics
NPI:1972782837
Name:TUTTON, RUTH DALE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:DALE
Last Name:TUTTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13630 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-2601
Mailing Address - Country:US
Mailing Address - Phone:804-739-4451
Mailing Address - Fax:
Practice Address - Street 1:13630 RIVER RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-2601
Practice Address - Country:US
Practice Address - Phone:804-739-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional