Individual
BRANDY RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7305 HANCOCK VILLAGE DR PMB #301, CHESTERFIELD, VA 23832
(804) 513-9622
Mailing address
7305 HANCOCK VILLAGE DR PMB #301, CHESTERFIELD, VA 23832
(804) 513-9622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704014582
VA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
12/10/2024
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