Individual provider · Type 1 NPI

Mary R. Rudberg, LPC, CRC, CACD, M.S.

Professional Counselor · Belle Vernon, PA

NPI number 1366757098 Active

Practice location

524 Blind Ln
Belle Vernon, PA 15012-1280

Call (724) 243-3161 Map

Fax (724) 243-3161

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XPC004450 (PA)
Addiction (Substance Use Disorder) Counselor 101YA0400XPC004450 (PA)
Mental Health Counselor 101YM0800XPC004450 (PA)
Professional Counselor Primary 101YP2500XPC004450 (PA)

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About NPI 1366757098

Mary R. Rudberg, LPC, CRC, CACD, M.S.'s National Provider Identifier is 1366757098, issued on Aug 18, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belle Vernon, PA. The record was last updated on Aug 18, 2010.