Individual
DIANNA SPRAY RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
522 W JACKSON ST, KOKOMO, IN 46901-4440
(765) 860-4043
Mailing address
522 W JACKSON ST, KOKOMO, IN 46901-4440
(765) 860-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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