Individual provider · Type 1 NPI

Ethan Rucker, LPC

Mental Health Counselor · Chicago, IL

NPI number 1013431683 Active

Practice location

4875 N Paulina St Apt 2A
Chicago, IL 60640-4176

Call (904) 599-6248 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178013109 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1013431683

Ethan Rucker, LPC's National Provider Identifier is 1013431683, issued on Jul 26, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.