Individual provider · Type 1 NPI
Rudner Holgado Devera, MS
Mental Health Counselor · Philadelphia, PA
NPI number
1962043448
Active
Practice location
4040 Market St
Philadelphia, PA 19104-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962043448
Rudner Holgado Devera, MS's National Provider Identifier is 1962043448, issued on Oct 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 4, 2019.