# MRS. DEBORAH A RUDNINGEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508207044
- **Gender:** F
- **Credential:** LPC, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 303570 | MN | — |
| 101YM0800X | Mental Health Counselor | CC00963 | MN | Yes |
| 101YP2500X | Professional Counselor | 01317 | MN | — |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 11/04/2021
