Individual
AMY RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
310 E TORRANCE AVE, PONTIAC, IL 61764-2748
(815) 844-6108
(815) 844-3561
Mailing address
210 BELVIEW AVE, NORMAL, IL 61761-1310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150013180
IL
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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