Individual
MATTHEW PRESTON RUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LCAC
Contact information
Practice address
625 N FORD RD, ZIONSVILLE, IN 46077-1245
(317) 440-7995
Mailing address
625 N FORD RD, ZIONSVILLE, IN 46077-1245
(317) 440-7995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001689A
IN
101YM0800X
Mental Health Counselor
Primary
39003912A
IN
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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