person
Ethan Rucker, LPC
Mental Health Counselor in Chicago, Illinois
NPI 1013431683

Ethan Rucker is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Ethan Rucker practices in Chicago, IL and has the professional credentials of LPC. The NPI Number for Ethan Rucker is 1013431683 and holds a License No. 178013109 (Illinois).

The current practice location address for Ethan Rucker is 4875 N Paulina St Apt 2A, Chicago, IL and can be reached out via phone at 904-599-6248.

Location: 4875 N Paulina St Apt 2A, Chicago, IL, 60640-4176
person
Provider Profile Details
NPI Number
1013431683
Provider Name
Ethan Rucker
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4875 N Paulina St Apt 2A, Chicago, IL, 60640-4176
Phone Number
904-599-6248
Fax Number
Provider Enumeration Date
07/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4875 N Paulina St Apt 2A
City
State
Zip
60640-4176
Phone Number
904-599-6248
Fax Number
person
Provider Business Mailing Address Details
Address
4875 N Paulina St Apt 2A
City
State
Zip
60640-4176
Phone Number
904-599-6248
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178013109 (Illinois)
Definition
Definition to come...
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