Provider Demographics
NPI:1588827984
Name:RUCCI MORRISON, KATHERINE MARY (MA)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARY
Last Name:RUCCI MORRISON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:M
Other - Last Name:RUCCI-MORRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-0043
Mailing Address - Country:US
Mailing Address - Phone:805-458-1560
Mailing Address - Fax:
Practice Address - Street 1:314 1ST ST E STE 206
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-2100
Practice Address - Country:US
Practice Address - Phone:805-458-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC82976106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist