BRYAN RUCKER

MONROE, LA
NPI1659904191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  4131)
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
Mr. BRYAN RUCKER
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
Mailing Address
Mr. BRYAN RUCKER
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
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