Individual
THERESA ANN RUDOLFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 287-5622
(585) 287-5628
Mailing address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 287-5622
(585) 287-5628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
41304
NY
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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