Individual
NICHOLAS RUDGEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 E MISSOURI AVE STE C160, PHOENIX, AZ 85014-2458
(602) 878-8142
Mailing address
1440 E MISSOURI AVE STE C160, PHOENIX, AZ 85014-2458
(602) 878-8142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18103
AZ
Other
Enumeration date
01/07/2019
Last updated
06/13/2024
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