Provider Demographics
NPI:1821889817
Name:RUCKER, JAMES A II (CAS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:RUCKER
Suffix:II
Gender:M
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16423 E ADRIATIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1105
Mailing Address - Country:US
Mailing Address - Phone:720-504-5585
Mailing Address - Fax:720-512-0777
Practice Address - Street 1:16423 E ADRIATIC PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1105
Practice Address - Country:US
Practice Address - Phone:720-504-5585
Practice Address - Fax:720-512-0777
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0021347101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)