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Individual

ASHLEE RUDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
35 ROCHAMBEAU AVE, ANDOVER, NY 14806-9674
(716) 803-9926
Mailing address
PO BOX 730, ANDOVER, NY 14806-0730
(716) 803-9926

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007039
NY

Other

Enumeration date
01/16/2015
Last updated
03/13/2024
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