Organization Name: | MONIKA RUKUS, INC. |
NPI Number: | 1003981614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONIKA L. RUKUS (OWNER) |
Mailing Address: | 8901 Connecticut Ave Chevy Chase |
State: | MD US |
Postal Code: | 208156734 |
Phone Number: | 3019869999 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 08641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |