Qiana Rucker
Counselor, Mental Health in Westampton, NJ. Individual provider (NPI-1).
NPI number1073907366
StatusActive
Last updated in NPPESMar 24, 2015
Details
- NPI
- 1073907366
- Entity type
- Individual (NPI-1)
- Name
- Qiana Rucker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2015
- Last updated
- Mar 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
770 Woodlane RdWestampton, NJ 08060-3804
Phone 609-275-5928
Mailing address
770 Woodlane RdWestampton, NJ 08060-3804
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