Basic Information
| Provider Information | |||||||||
| NPI: | 1083954598 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RHOADS | ||||||||
| FirstName: | RUTHANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | LMHC, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2577 NE COURTNEY DR | ||||||||
| Address2: | |||||||||
| City: | BEND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 977017638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413227500 | ||||||||
| FaxNumber: | 5413227565 | ||||||||
| Practice Location | |||||||||
| Address1: | 51605 COACH ROAD | ||||||||
| Address2: | |||||||||
| City: | LAPINE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413227500 | ||||||||
| FaxNumber: | 5413227565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2013 | ||||||||
| LastUpdateDate: | 05/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | PC010026 | PA | N | Behavioral Health & Social Service Providers | Counselor | 101Y00000X | 37PC00631000 | NJ | N | Behavioral Health & Social Service Providers | Counselor | 101Y00000X | LH60446714 | WA | N | Behavioral Health & Social Service Providers | Counselor | 101YP2500X | C5934 | OR | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.