Individual provider · Type 1 NPI

Amy Rude, LSW

Mental Health Counselor · Pontiac, IL

NPI number 1245516277 Active

Practice location

310 E Torrance Ave
Pontiac, IL 61764-2748

Fax (815) 844-3561

Mailing address

210 Belview Ave
Normal, IL 61761-1310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X150013180 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1245516277

Amy Rude, LSW's National Provider Identifier is 1245516277, issued on Oct 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Oct 21, 2011.