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Individual

MR. JAMES ANTHONY RUCKER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LAC, LMFT

Contact information

Practice address
16423 E ADRIATIC PL, AURORA, CO 80013-1105
(720) 504-5585
(720) 513-0777
Mailing address
16423 E ADRIATIC PL, AURORA, CO 80013-1105
(720) 296-2467

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001299
CO
106H00000X
Marriage & Family Therapist
Primary
MFT.0002478
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000175546
CO
Enumeration date
04/21/2017
Last updated
02/10/2025
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