Individual
MS. ELLEN LEE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC CRC
Contact information
Practice address
2018 EASTWOOD RD, SUITE 316, WILMINGTON, NC 28403-7228
(910) 344-0480
(910) 344-1206
Mailing address
615 SPENCER CT, WILMINGTON, NC 28412-3463
(910) 274-6757
(910) 344-1206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103368
—
NC
Enumeration date
10/26/2006
Last updated
07/19/2012
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