Shelly Rucker

NPI Registration Record

Provider / Organization	NPI	Date Certified
SHELLY RUCKER	1295315588	2021-04-10

Shelly Rucker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295315588. Registration indicates Shelly Rucker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity Type	Individual
Provider Name	Mrs. Shelly Rucker LCSW
Practice Office Address	95-1134 ANUANU ST MILILANI, HI US
Practice Office Telephone	9167998434
Mailing Address	PO BOX 894256 MILILANI, HI 967898256 US
Business Telephone	9167998434

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