Provider Demographics
NPI:1194780833
Name:RUEHLE, AARON JAMES (EDS LPC LMFT)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:JAMES
Last Name:RUEHLE
Suffix:
Gender:M
Credentials:EDS LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 TIMBER OAK CT
Mailing Address - Street 2:OAKDALE CIRCLE
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3459
Mailing Address - Country:US
Mailing Address - Phone:434-237-6236
Mailing Address - Fax:434-237-9155
Practice Address - Street 1:66 TIMBER OAK CT
Practice Address - Street 2:OAKDALE CIRCLE
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3459
Practice Address - Country:US
Practice Address - Phone:434-237-6236
Practice Address - Fax:434-237-9155
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001397101YP2500X
VA0717000382106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA260280OtherBCBC
VA5404711Medicaid