Provider Demographics
NPI:1770093346
Name:RUFENER, JOY CARIN (LMHC, LPCC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:CARIN
Last Name:RUFENER
Suffix:
Gender:F
Credentials:LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N BROADWAY STE D
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4871
Mailing Address - Country:US
Mailing Address - Phone:657-229-5714
Mailing Address - Fax:
Practice Address - Street 1:204 N BROADWAY STE D
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4871
Practice Address - Country:US
Practice Address - Phone:657-229-5714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60793222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9864OtherBOARD OF BEHAVIORAL SCIENCES
WALH60793222OtherDEPARTMENT OF HEALTH