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Individual

MRS. MELISSA V RUKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACC, LPC-IT

Contact information

Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7420
(920) 793-7430
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5653
WI
101YP2500X
Professional Counselor
5653
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100035242
WI
Enumeration date
01/15/2014
Last updated
02/18/2026
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