Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilse Ruby Roques Juarez

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417569674

Ilse Ruby Roques Juarez is an Addiction (Substance Use Disorder) Counselor in Richmond, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

205 39th St
Richmond, CA 94805-2212
Phone: (510) 412-5930
Fax: (510) 412-0567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1417569674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2020
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address205 39th St, Richmond, CA 94805-2212

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