Provider Demographics
NPI:1063552628
Name:GUNTER, RUTH MILLER (LPC)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:MILLER
Last Name:GUNTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FIELD ST
Mailing Address - Street 2:220 FIELD STREET
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-3934
Mailing Address - Country:US
Mailing Address - Phone:936-590-9864
Mailing Address - Fax:936-590-9619
Practice Address - Street 1:220 FIELD ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3934
Practice Address - Country:US
Practice Address - Phone:936-590-9864
Practice Address - Fax:936-590-9619
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional