Individual
REBECCA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
(636) 296-0102
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2014004871
MO
101YP2500X
Professional Counselor
Primary
2014004871
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/27/2011
Last updated
07/20/2021
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