Kristina Rucker, CPC
Counselor, Professional in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982155040
StatusActive
Last updated in NPPESOct 16, 2019
Details
- NPI
- 1982155040
- Entity type
- Individual (NPI-1)
- Name
- Kristina Rucker
- Credential
- CPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2016
- Last updated
- Oct 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CP1226 | NV | Yes |
Practice location
2740 S Jones BlvdLas Vegas, NV 89146-5398
Phone 702-248-8866
Mailing address
2740 S Jones BlvdLas Vegas, NV 89146-5398
Phone 702-248-8866
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