Individual
BIANCA LAUREN RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 COMMERCE PKWY STE 220, ROCKLEDGE, FL 32955-4209
(321) 258-9537
(321) 541-9135
Mailing address
325 E UNIVERSITY BLVD APT 170, MELBOURNE, FL 32901-7071
(321) 662-0008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/22/2023
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