Individual
MR. CHARLES DOY DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. LCPC
Contact information
Practice address
5804 ELAINE DR, ROCKFORD, IL 61108-2435
(815) 397-7654
(815) 397-2712
Mailing address
1515 WHEELER RD, KIRKLAND, IL 60146-8247
(815) 522-2417
(815) 397-2712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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