Individual
DR. LORI RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2704 LOS ANAYAS RD NW, ALBUQUERQUE, NM 87104-2934
(505) 550-9553
Mailing address
2704 LOS ANAYAS RD NW, ALBUQUERQUE, NM 87104-2934
(505) 550-9553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0245
NM
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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