ELLAINA RUDOLPH
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1730668906
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1730668906 is the National Provider Identifier for ELLAINA RUDOLPH, a Counselor - Addiction (Substance Use Disorder) provider located in Highland Park, MI. This NPI was enumerated on August 9, 2018.
ELLAINA RUDOLPH practices at 12501 HAMILTON AVE, Highland Park, MI 48203.
Quick Facts
- NPI
- 1730668906
- Type
- Individual
- Enumerated
- Aug 9, 2018
- Last Updated
- Aug 9, 2018
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