Theodore Andrew Ruble, | |
10825 Dorchester Rd Apt 1072, Summerville, SC 29485-6051 | |
(301) 733-2431 | |
Not Available |
Full Name | Theodore Andrew Ruble |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 10825 Dorchester Rd Apt 1072, Summerville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033698634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 8152 (South Carolina) | Primary |
Entity Name | Charleston Counseling Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
Mailing Address | Practice Location Address |
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Theodore Andrew Ruble, 322 E Antietam St Ste 101, Hagerstown, MD 21740-5736 Ph: () - | Theodore Andrew Ruble, 10825 Dorchester Rd Apt 1072, Summerville, SC 29485-6051 Ph: (301) 733-2431 |
Brian D Musolf, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Old Trolley Rd, Summerville, SC 29485 Phone: 843-900-6767 Fax: 843-285-5916 | |
Toya Renee Richardson, CACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suit 4, Summerville, SC 29483 Phone: 843-871-4790 Fax: 843-871-8579 | |
Mrs. Sarah Jo Bartusch, MS Counselor Medicare: Medicare Enrolled Practice Location: 201 Sigma Dr Ste 300, Summerville, SC 29486 Phone: 800-552-4357 Fax: 678-388-9244 | |
Mrs. Kimberly T Mcclary, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Springview Ln, Summerville, SC 29485 Phone: 843-821-0444 | |
Ms. Lori M Gant, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W. 5th North Street, Suite C, Summerville, SC 29483 Phone: 843-695-8865 Fax: 843-695-8517 | |
Laura Elizabeth Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 N Cedar St Ste 202, Summerville, SC 29483 Phone: 843-220-9672 Fax: 843-808-6830 | |
Montina V Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Springview Ln, Summerville, SC 29485 Phone: 843-873-5063 |