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Individual

JOHN RUDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
35895 ROYALTON RD, GRAFTON, OH 44044-9587
(440) 529-9419
(440) 588-8674
Mailing address
PO BOX 1075, COLUMBIA STATION, OH 44028-1075
(440) 529-9419
(440) 588-8674

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.0007827
OH
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0298176
OH
Enumeration date
06/30/2018
Last updated
09/16/2025
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