Individual provider · Type 1 NPI

Dustin Shane Tudor, MA

Mental Health Counselor · Du Bois, PA

NPI number 1265688196 Active

Practice location

100 Caldwell Dr
Du Bois, PA 15801-1152

Fax (814) 375-0120

Mailing address

793 Old Route 119 Hwy N
Indiana, PA 15701-1372

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265688196

Dustin Shane Tudor, MA's National Provider Identifier is 1265688196, issued on Aug 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Du Bois, PA. The record was last updated on Aug 12, 2008.