Individual
CAROLYN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 READING RD, CINCINNATI, OH 45202-1357
(513) 768-6924
Mailing address
7691 5 MILE RD STE 301, CINCINNATI, OH 45230-4348
(513) 421-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166026
OH
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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