Individual
JOEL DAVID RUDOLPH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
33-11 BROADWAY STE 203, FAIR LAWN, NJ 07410-4638
(973) 769-3699
(973) 389-9110
Mailing address
876 ALPS RD, WAYNE, NJ 07470-3905
(973) 445-5647
(973) 742-5100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00000400
NJ
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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