Individual provider · Type 1 NPI

Jessica Rudolphi, LCPC

Mental Health Counselor · Pontiac, IL

NPI number 1265582225 Active

Practice location

310 E Torrance Ave
Pontiac, IL 61764-2748

Call (815) 844-6109 Map

Fax (815) 844-3561

Mailing address

403 Greenbriar Dr Apt 205
Normal, IL 61761-6219

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265582225

Jessica Rudolphi, LCPC's National Provider Identifier is 1265582225, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Jul 8, 2007.