Provider Demographics
NPI:1598585283
Name:RUCKA-WHITE, JANET (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:RUCKA-WHITE
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 CLEVELAND
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5899
Mailing Address - Country:US
Mailing Address - Phone:512-300-6385
Mailing Address - Fax:
Practice Address - Street 1:589 N FM 1626
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-3860
Practice Address - Country:US
Practice Address - Phone:512-300-6385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health