Individual
MICHELLE T RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3495 COBBLESTONE BLVD S, SOUTHAVEN, MS 38672-7075
(662) 892-2885
(662) 892-2889
Mailing address
3495 COBBLESTONE BLVD S, SOUTHAVEN, MS 38672-7075
(662) 892-2885
(662) 892-2889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2999
MS
Other
Enumeration date
12/21/2021
Last updated
10/04/2023
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