Individual
MR. ALAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., M.F.T.
Contact information
Practice address
5535 BALBOA BLVD, ENCINO, CA 91316-1516
(818) 788-2738
Mailing address
8 SAMOA WAY, PACIFIC PALISADES, CA 90272-4653
(310) 230-0045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC13530
CA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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