Individual provider · Type 1 NPI

Lewis Charles Rudolph, ED.M., CAGS

Mental Health Counselor · Northampton, MA

NPI number 1972796589 Active

Practice location

50 Pleasant St
Northampton, MA 01060-3909

Call (413) 584-6855 Map

Fax (413) 585-1355

Mailing address

4 Eaton Ct
Amherst, MA 01002-2828

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5920 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1972796589

Lewis Charles Rudolph, ED.M., CAGS's National Provider Identifier is 1972796589, issued on Aug 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northampton, MA. The record was last updated on Aug 27, 2007.