Individual provider · Type 1 NPI

Jeremy Ruckstaetter, PhD, LPC, NCC

Professional Counselor · St. Louis, MO

NPI number 1851916043 Active

Practice location

1023 Executive Parkway Dr Ste 10
St. Louis, MO 63141-6323

Call (314) 469-5522 Map

Mailing address

15638 Summer Lake Dr
Chesterfield, MO 63017-5136

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2011033777 (MO)

Professional Counselor: Definition to come...

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About NPI 1851916043

Jeremy Ruckstaetter, PhD, LPC, NCC's National Provider Identifier is 1851916043, issued on Jun 12, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jun 12, 2020.