Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHLEEN ANNE RUFFULO, LCPC
ActiveMental Health Counselor · BERKELEY, IL
Registration Details
- NPI Number
- 1972856839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2012 (13.543430395494 yrs)
- Last Updated
- Oct 16, 2012
- License
-
180.008338 (IL)
Practice Information
- Address
-
1212 N ASHBEL AVEBERKELEY, IL, 601631118Browse IL providers · Browse ZIP 60163
- Phone
- 7084939710
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.