Individual
JESSICA RUZICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
717 N 5TH ST, SPEARFISH, SD 57783-2048
(605) 519-5850
Mailing address
717 N 5TH ST, SPEARFISH, SD 57783-2048
(605) 519-5850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
20390
SD
Other
Enumeration date
07/18/2017
Last updated
01/04/2024
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