Provider Demographics
NPI:1841982717
Name:RYPA, VANESSA UWAMUKIZA
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:UWAMUKIZA
Last Name:RYPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 BUSH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-3930
Mailing Address - Country:US
Mailing Address - Phone:651-352-7278
Mailing Address - Fax:
Practice Address - Street 1:1044 BUSH AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-3930
Practice Address - Country:US
Practice Address - Phone:651-352-7278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health