| Mrs Jennifer Lee Ruff, | |
|
290 N Wayte Ln, Fresno, CA 93701-2124 | |
| (559) 459-5700 | |
| Not Available |
| Full Name | Mrs Jennifer Lee Ruff |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 290 N Wayte Ln, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023287281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PSY22474 (California) | Primary |
| 103T00000X | Psychologist | PSY22474 (California) | Secondary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Lee Ruff, 4910 E Clinton Way, Suite 101, Fresno, CA 93727-1560 Ph: (559) 443-2682 | Mrs Jennifer Lee Ruff, 290 N Wayte Ln, Fresno, CA 93701-2124 Ph: (559) 459-5700 |
Dawn Workman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4205 W Figarden Dr, Fresno, CA 93722 Phone: 559-221-1680 Fax: 559-221-4336 |
Shanisha Denise Augustine, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2499 W Shaw Ave, Fresno, CA 93711 Phone: 559-249-0395 |
Mr. Delmar L. Beglau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1787 S Homsy Ave, Fresno, CA 93727 Phone: 559-251-4698 |
Ms. La Rhonda Monique Brown-bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3043 W Roberts Ave, Fresno, CA 93711 Phone: 559-313-9701 Fax: 559-272-6431 |
Monique Renee Medina, Counselor Medicare: May Accept Medicare Assignments Practice Location: 5168 N Blythe Ave Ste 101, Fresno, CA 93722 Phone: 559-248-8550 Fax: 559-248-8555 |
Tiffany I Meyers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 83 E Shaw Ave, Suite #102, Fresno, CA 93710 Phone: 559-226-0167 Fax: 559-226-1559 |
Richard Frank Duarte Ii, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 E Belmont Ave, Fresno, CA 93701 Phone: 559-237-3420 |