Individual
MRS. DEBORAH A RUDNINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
10010 STRAWBERRY LAKE RD, PEQUOT LAKES, MN 56472-2291
(218) 833-7636
(218) 543-4394
Mailing address
10010 STRAWBERRY LAKE RD, PEQUOT LAKES, MN 56472-2291
(218) 833-7636
(218) 543-4394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303570
MN
101YM0800X
Mental Health Counselor
Primary
CC00963
MN
101YP2500X
Professional Counselor
01317
MN
Other
Enumeration date
07/12/2013
Last updated
11/04/2021
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