Individual provider · Type 1 NPI

Ellis David Rudan Jr.

Mental Health Counselor · Mishawaka, IN

NPI number 1184581837 Active

Practice location

113 Lincolnway E
Mishawaka, IN 46544-2016

Mailing address

318 S Elkhart Ave Apt 344
Elkhart, IN 46516-3584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

31 other providers at this address

Other mental health counselor providers in Mishawaka

See all in Mishawaka →

About NPI 1184581837

Ellis David Rudan Jr.'s National Provider Identifier is 1184581837, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 6, 2026.