Individual
MR. ELLIS DAVID RUDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 LINCOLNWAY E, MISHAWAKA, IN 46544-2016
(574) 314-5987
Mailing address
318 S ELKHART AVE APT 344, ELKHART, IN 46516-3584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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