Individual
MISS CHEYENNE N RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 GIBSON RD, REYNOLDSBURG, OH 43068-2122
(614) 282-8569
Mailing address
1116 GIBSON RD, REYNOLDSBURG, OH 43068-2122
(614) 282-8569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
03/29/2024
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