NPI 1639389232 · live from the CMS NPI Registry
Rozanne M. Rucker, M.S., LMFT
Marriage & Family Therapist in Kodiak, AK. National Provider Identifier 1639389232, active.
NPI record
| NPI | 1639389232 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3449 E Rezanof Dr, Kodiak, AK 99615 |
| Practice phone | 907-486-9836 |
| Enumerated | May 23, 2007 |
| Last updated | April 18, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | KY-0551 (KY) |
| Marriage & Family Therapist primary | 106H00000X | 280 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.