Individual
MRS. JENNIFER L RUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
101 CENTRAL AVE SW, LE MARS, IA 51031-3620
(712) 522-1119
(712) 587-9695
Mailing address
125 1ST ST NW, LE MARS, IA 51031-3507
(712) 522-1119
(712) 587-9695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600849393
—
IA
Enumeration date
09/19/2012
Last updated
09/08/2020
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