Rucker, Dynasty Maria

Rucker, Dynasty Maria is an individual health care provider with primary practice located at 11445 Reiger Rd , Baton Rouge LA 70809-4556. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Rucker, Dynasty Maria can be contacted via phone (225) 932-9867.

Contact Information

Primary practice address
11445 Reiger Rd Baton Rouge LA 70809-4556
Phone: (225) 932-9867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X PLM1552 Louisiana

Profile Details

NPI number 1831745678
LBN Legal business name Rucker, Dynasty Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Jul 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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