Individual provider · Type 1 NPI

Ryan Rutkowski

Mental Health Counselor · Cocoa, FL

NPI number 1053800979 Active

Practice location

505 Brevard Ave
Cocoa, FL 32922-7973

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801106905 (MI)
Clinical Social Worker 1041C0700X6851106905 (MI)
Clinical Social Worker 1041C0700X6801114905 (MI)
Clinical Social Worker 1041C0700XSW20818 (FL)
Mental Health Counselor Primary 101YM0800XSW20818 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1053800979

Ryan Rutkowski's National Provider Identifier is 1053800979, issued on May 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cocoa, FL. The record was last updated on Sep 2, 2025.