Individual
SHANIKA JANIELLE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, BS
Contact information
Practice address
1428 E MAIN ST, PRINCETON, WV 24740-3002
(304) 425-9541
(681) 282-5558
Mailing address
1428 E MAIN ST, PRINCETON, WV 24740-3002
(304) 425-9541
(681) 282-5558
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WV
Other
Enumeration date
05/06/2026
Last updated
05/07/2026
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