IndividualActive
Shanika Rucker, MBA, BS
NPI 1578490207 · Mental Health Clinic/Center (Including Community Mental Health Center) · Princeton, WV
Provider details
- NPI number
- 1578490207
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Credential
- MBA, BS
- Sex
- Female
- Sole proprietor
- No
Practice location
1428 E Main St
Princeton, WV 24740-3002
Phone: (304) 425-9541
Fax: (681) 282-5558
Mailing address
1428 E Main St
Princeton, WV 24740-3002
Registry dates
- Enumerated
- 2026-05-06
- Last updated
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.