Organization
NICOLE RUDD, LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RUDD LCPC (OWNER)
(202) 406-0929
Entity
Organization
Contact information
Practice address
2905 MITCHELLVILLE RD STE 112, BOWIE, MD 20716-1321
(202) 406-0929
Mailing address
2905 MITCHELLVILLE RD STE 112, BOWIE, MD 20716-1321
(202) 406-0929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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