Rugsaken, Derek
Rugsaken, Derek is an sole proprietor health care provider with primary practice located at 1200 N Paseo De Onate , Espanola NM 87532-2687. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Rugsaken, Derek can be contacted via phone (765) 748-6139.Contact Information
Primary practice address
1200 N Paseo De Onate
Espanola NM 87532-2687
Phone: (765) 748-6139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0219111 | New Mexico |
Profile Details
| NPI number | 1083080477 |
|---|---|
| LBN Legal business name | Rugsaken, Derek |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Feb 9th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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