Organization
RUDOLPH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RUDOLPH (OWNER)
(815) 354-0604
Entity
Organization
Contact information
Practice address
16255 HARTMAN RD, DAVIS, IL 61019-9201
(815) 988-6687
Mailing address
12570 DORR RD, ROCKTON, IL 61072-2839
(815) 988-6687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
180007114
IL
251S00000X
Community/Behavioral Health Agency
4570125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750619318
—
IL
05
—
1750619318
—
WI
Enumeration date
02/03/2017
Last updated
05/19/2025
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