OrganizationActive
Jacque Ruch Lcsw, Ltd.
NPI 1265970180 · Group Psychotherapy Psychologist · Rockford, IL
Provider details
- NPI number
- 1265970180
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Missy Wilson, Office Manager
- License
- 149015073 (IL)
Practice location
650 N Main St
Rockford, IL 61103-6921
Phone: (815) 243-8332
Fax: (847) 693-3099
Mailing address
650 N Main St
Rockford, IL 61103-6921
Registry dates
- Enumerated
- 2017-02-11
- Last updated
- 2017-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.