Provider Demographics
NPI:1790515203
Name:RUTLEDGE, MARIA BELTRAN (BS, MS, PPS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:BELTRAN
Last Name:RUTLEDGE
Suffix:
Gender:F
Credentials:BS, MS, PPS
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:BELTRAN
Other - Last Name:ARBALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:740 KEMPTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-5017
Mailing Address - Country:US
Mailing Address - Phone:619-668-5870
Mailing Address - Fax:
Practice Address - Street 1:740 KEMPTON ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-5017
Practice Address - Country:US
Practice Address - Phone:619-668-5870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool