Individual
RANDAL RUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5801 N 51ST AVE, GLENDALE, AZ 85301-6057
(602) 685-6000
(602) 930-0358
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21102
AZ
Other
Enumeration date
03/17/2022
Last updated
07/18/2023
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