Individual provider · Type 1 NPI
Jonathan Rucker, LPC
Professional Counselor · Bentonville, AR
NPI number
1831808294
Active
Practice location
2703 SE G St Ste 2
Bentonville, AR 72712-3740
Fax (479) 391-5254
Mailing address
13767 Pella Ln
Neosho, MO 64850-8781
Other practice locations
- 512 E 32nd St Ste 210, Joplin, MO 64804-3903 · (479) 368-2911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P2404003 (AR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1831808294
Jonathan Rucker, LPC's National Provider Identifier is 1831808294, issued on Nov 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bentonville, AR. The record was last updated on Sep 21, 2025.