Individual
MRS. CARRIE Y DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401223431
MI
101YP2500X
Professional Counselor
Primary
6401223431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401223431
LPC
MI
Enumeration date
08/12/2021
Last updated
05/28/2025
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