ETHAN RUCKER

CHICAGO, IL
NPI1013431683
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178013109)
Enumeration Date2017-07-26
Last Update Date2022-07-21
Business Address
ETHAN RUCKER LPC
4875 N PAULINA ST APT 2A
CHICAGO, IL 60640-4176
Phone number: 904-599-6248
Mailing Address
ETHAN RUCKER LPC
4875 N PAULINA ST APT 2A
CHICAGO, IL 60640-4176
Phone number: 904-599-6248
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