Individual
MRS. LAURIE SCHEID RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, CAAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00572
MI
101YP2500X
Professional Counselor
Primary
6401009641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201686
INTERNATIONAL CERTIFICATION AND RECIPROCITY CONSORTIUM
MI
01
—
208703
NATIONAL BOARD FOR CERTIFIED COUNSELORS INC
MI
01
—
6401009641
PROF COUNSEL LL
MI
01
—
C-00572
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS
MI
Enumeration date
02/10/2007
Last updated
09/18/2013
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