Individual
CASSIDY K RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13767 PELLA LN, NEOSHO, MO 64850-8781
(479) 368-2911
(479) 391-5254
Mailing address
13767 PELLA LN, NEOSHO, MO 64850-8781
(479) 368-2911
(479) 391-5254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2107011
AR
Other
Enumeration date
02/19/2019
Last updated
09/29/2025
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