Individual
MICHELLE R RUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
(715) 845-1911
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
(715) 845-1977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18403
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001
—
WI
Enumeration date
06/09/2021
Last updated
06/09/2021
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