Individual provider · Type 1 NPI

Kirsten Renee Rucker

Mental Health Counselor · Tyler, TX

NPI number 1639080211 Active

Practice location

515 W SW Loop 323
Tyler, TX 75701-9455

Call (903) 402-3822 Map

Mailing address

PO Box 1245
Van, TX 75790-1245

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X94459 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1639080211

Kirsten Renee Rucker's National Provider Identifier is 1639080211, issued on Sep 14, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyler, TX. The record was last updated on Sep 14, 2026.