Provider Demographics
NPI:1124736657
Name:RUFF, KARINNE MAE
Entity type:Individual
Prefix:
First Name:KARINNE
Middle Name:MAE
Last Name:RUFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6862 BREEDLOVE LN
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-8294
Mailing Address - Country:US
Mailing Address - Phone:870-754-6620
Mailing Address - Fax:
Practice Address - Street 1:301 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8872
Practice Address - Country:US
Practice Address - Phone:870-269-6022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor