Individual provider · Type 1 NPI
Mary Rudolph
Mental Health Counselor · Erie, PA
NPI number
1174910855
Active
Practice location
4190 E Lake Rd
Erie, PA 16511
Fax (814) 616-2860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CW019986 |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1174910855
Mary Rudolph's National Provider Identifier is 1174910855, issued on Apr 21, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Erie, PA. The record was last updated on Feb 18, 2019.