Individual provider · Type 1 NPI
Jack George Rudolph
Counselor · Medford, WI
NPI number
1487823308
Active
Practice location
540 College Ave
Medford, WI 54451-2027
Fax (715) 748-3342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 2651-125 (WI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5 other providers at this address
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- Taylor CountyEarly Intervention Provider Agency Medford, WI NPI 1568645604
- Taylor CountyCase Management Agency Medford, WI NPI 1710183280
- Taylor CountyCommunity/Behavioral Health Agency Medford, WI NPI 1801092374
- Anthony J. Schmidt, C.R.C & L.P.C.Mental Health Counselor Medford, WI NPI 1740494228
About NPI 1487823308
Jack George Rudolph's National Provider Identifier is 1487823308, issued on Feb 25, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, WI. The record was last updated on Mar 13, 2008.