Individual provider · Type 1 NPI
Shanika Janielle Rucker, MBA, BS
Mental Health Clinic/Center (Including Community Mental Health Center) · Princeton, WV
NPI number
1578490207
Active
Practice location
1001 Mercer St
Princeton, WV 24740-3002
Fax (681) 282-5558
Mailing address
1001 Mercer Street
Princeton, WV 24740-3002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1578490207
Shanika Janielle Rucker, MBA, BS's National Provider Identifier is 1578490207, issued on May 6, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Princeton, WV. The record was last updated on Jun 8, 2026.