Provider Demographics
NPI:1780921353
Name:RUTTENCUTTER, JOAN E (PCC)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:RUTTENCUTTER
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1920
Mailing Address - Country:US
Mailing Address - Phone:740-622-4470
Mailing Address - Fax:740-622-5580
Practice Address - Street 1:1199 S 2ND ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1920
Practice Address - Country:US
Practice Address - Phone:740-622-4470
Practice Address - Fax:740-622-5580
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional