Provider Demographics
NPI:1487424925
Name:RUHLAND, JEFFREY (MS, LPCC, LADC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:RUHLAND
Suffix:
Gender:M
Credentials:MS, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 1ST AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-2255
Mailing Address - Country:US
Mailing Address - Phone:612-412-1334
Mailing Address - Fax:612-234-4581
Practice Address - Street 1:913 MANOR DR NE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-1271
Practice Address - Country:US
Practice Address - Phone:612-412-1334
Practice Address - Fax:612-234-4581
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN304656101YA0400X
MN4213101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)