Provider Demographics
NPI:1457139388
Name:RUIZ, ISABEL (AMFT)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:RUIZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 1ST ST STE 101B
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-3710
Mailing Address - Country:US
Mailing Address - Phone:805-514-8998
Mailing Address - Fax:
Practice Address - Street 1:436 1ST ST STE 101B
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-3710
Practice Address - Country:US
Practice Address - Phone:805-514-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT140320106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist