Individual provider · Type 1 NPI
Jeananne N/a Ruck
Counselor · Atascadero, CA
NPI number
1760058622
Active
Practice location
3530 El Camino Real
Atascadero, CA 93422-2532
Mailing address
1207 Grassy Hollow Way
Paso Robles, CA 93446-4036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1760058622
Jeananne N/a Ruck's National Provider Identifier is 1760058622, issued on Jun 1, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Atascadero, CA. The record was last updated on May 11, 2026.