Sir Johnathan Rucker, | |
635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | |
(601) 638-0031 | |
(601) 638-1778 |
Full Name | Sir Johnathan Rucker |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 635 W Willie Morris Pkwy, Yazoo City, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578022281 | NPI | - | NPPES |
00018215 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sir Johnathan Rucker, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (601) 638-0031 | Sir Johnathan Rucker, 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 Ph: (601) 638-0031 |
Carolyn Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Ms. Michelle Antonette Clay, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-8441 | |
Cynthia Tyner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Kathryn Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 | |
Eleanor Latisha Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 | |
Maiya Cyan Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 W Willie Morris Pkwy, Yazoo City, MS 39194 Phone: 662-746-5712 | |
Stephanie Gainwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2303 Gordon Ave, Yazoo City, MS 39194 Phone: 662-746-5712 Fax: 662-746-5723 |