Individual provider · Type 1 NPI

Thomas Ruderstaller, LPC

Professional Counselor · Tempe, AZ

NPI number 1043693096 Active

Practice location

2120 S Mcclintock Dr, Ste. 105
Tempe, AZ 85282-2692

Fax (480) 302-7884

Mailing address

1400 E Southern Ave, Suite 735
Tempe, AZ 85282-5691

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLAC-14239 (AZ)
Professional Counselor Primary 101YP2500XLPC-15817 (AZ)

Professional Counselor: Definition to come...

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About NPI 1043693096

Thomas Ruderstaller, LPC's National Provider Identifier is 1043693096, issued on Jul 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tempe, AZ. The record was last updated on Jul 23, 2024.