Individual
TRICIA JACOBSON-RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
3033 S ARIZONA AVE, CHANDLER, AZ 85248-2717
(480) 680-0606
Mailing address
3033 S ARIZONA AVE, CHANDLER, AZ 85248-2717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-7367T
AZ
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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