Provider Demographics
NPI:1982859559
Name:RUFFNER, DEBRA JOSEPHINE (LCDC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JOSEPHINE
Last Name:RUFFNER
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1655
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-7655
Mailing Address - Country:US
Mailing Address - Phone:858-602-8202
Mailing Address - Fax:619-758-9823
Practice Address - Street 1:3340 KEMPER ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4907
Practice Address - Country:US
Practice Address - Phone:619-758-1433
Practice Address - Fax:619-758-9823
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health