Individual
ASHLEY RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1286, WATFORD CITY, ND 58854-1286
(701) 586-3300
Mailing address
PO BOX 1286, WATFORD CITY, ND 58854-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1983
ND
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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