Individual provider · Type 1 NPI

Craig Rudholm

Counselor · Antioch, CA

NPI number 1669878005 Active

Practice location

55 E 18th St
Antioch, CA 94509-2450

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

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About NPI 1669878005

Craig Rudholm's National Provider Identifier is 1669878005, issued on Nov 12, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Antioch, CA. The record was last updated on Nov 12, 2014.