IndividualActive
Larry Ruiz, CSAC
NPI 1063877546 · Addiction (Substance Use Disorder) Counselor · Wailuku, HI
Provider details
- NPI number
- 1063877546
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC
- Sex
- Male
- Sole proprietor
- No
- License
- 1233-05 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1787 Wili PA Loop Ste 7
Wailuku, HI 96793-1271
Phone: (808) 283-0737
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 81690
Haiku, HI 96708-1690
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.