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Individual
JESSICA BETH RUDDLE
Active
Individual
JESSICA BETH RUDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCII- A021231115
CA
1041C0700X
Clinical Social Worker
BASW INTERN
CA
Other
Enumeration date
09/20/2010
Last updated
09/02/2016
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