Provider Demographics
NPI:1750514188
Name:BUELOW, RUTH KARIN DAHLE (LMFT)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:KARIN DAHLE
Last Name:BUELOW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 E 78TH ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-4638
Mailing Address - Country:US
Mailing Address - Phone:763-262-0048
Mailing Address - Fax:
Practice Address - Street 1:1550 E 78TH ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-4638
Practice Address - Country:US
Practice Address - Phone:763-232-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1320106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist