Individual
CAMILLE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4701 COLLEGE BLVD STE 115, LEAWOOD, KS 66211-1608
(816) 877-6420
Mailing address
12305 BRISTOL AVE, GRANDVIEW, MO 64030-1827
(816) 877-6420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC04764
KS
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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