DESTREE RUDOLPH, MS, CRC
Counselor - Mental Health
Active
Individual
NPI: 1851878797
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1851878797 is the National Provider Identifier for DESTREE RUDOLPH, MS, CRC, a Counselor - Mental Health provider located in Dallas, OR. This NPI was enumerated on July 24, 2018.
DESTREE RUDOLPH, MS, CRC practices at 182 SW ACADEMY ST, Dallas, OR 97338.
Quick Facts
- NPI
- 1851878797
- Type
- Individual
- Enumerated
- Jul 24, 2018
- Last Updated
- Jul 24, 2018
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Counselor - Mental Health