Individual provider · Type 1 NPI

Mandy Phillips Ruddell

Professional Counselor · Kennesaw, GA

NPI number 1427320886 Active

Practice location

5150 Stilesboro Rd NW, Suite 100
Kennesaw, GA 30152-7744

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003837 (GA)

Professional Counselor: Definition to come...

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About NPI 1427320886

Mandy Phillips Ruddell's National Provider Identifier is 1427320886, issued on Feb 1, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennesaw, GA. The record was last updated on Feb 1, 2012.