Individual provider · Type 1 NPI
Kelly Anne Rudolf, LPC
Mental Health Counselor · Prescott, AZ
NPI number
1891441812
Active
Practice location
115 S Mccormick St
Prescott, AZ 86303-4738
Mailing address
5649 N Bronco Ln
Prescott Valley, AZ 86314-5856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-23118 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1891441812
Kelly Anne Rudolf, LPC's National Provider Identifier is 1891441812, issued on Feb 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prescott, AZ. The record was last updated on Oct 18, 2026.