Provider Demographics
NPI:1760423875
Name:RUCKER, REBECCA K (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:K
Last Name:RUCKER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 FANNIN ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1913
Mailing Address - Country:US
Mailing Address - Phone:713-790-0745
Mailing Address - Fax:713-790-1302
Practice Address - Street 1:7505 FANNIN ST
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1913
Practice Address - Country:US
Practice Address - Phone:713-790-0745
Practice Address - Fax:713-790-1302
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004162042224101YM0800X
TX8489106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist