Provider Demographics
NPI:1265712137
Name:RUFENACHT, KRISTINE EMMA (MSW, LISW-CP, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:EMMA
Last Name:RUFENACHT
Suffix:
Gender:F
Credentials:MSW, LISW-CP, LCSW
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:EMMA
Other - Last Name:RUFENACHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1528 UNION ROAD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054
Mailing Address - Country:US
Mailing Address - Phone:513-272-2800
Mailing Address - Fax:513-631-7484
Practice Address - Street 1:236 NORTHPARK DRIVE
Practice Address - Street 2:SUITE 200/201
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:803-327-3636
Practice Address - Fax:803-327-3638
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker