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Maxi Alexis Rudolph
Counselor in Blue Bell, Pennsylvania
NPI 1164952982

Maxi Alexis Rudolph is a Counselor based in Blue Bell, PA. Maxi Alexis Rudolph practices in Blue Bell, PA. The NPI Number for Maxi Alexis Rudolph is 1164952982 and holds a License No. (Pennsylvania).

The current practice location address for Maxi Alexis Rudolph is 1777 Sentry Pkwy W Ste 300, Blue Bell, PA and can be reached out via phone at 215-767-7096.

Location: 1777 Sentry Pkwy W Ste 300, Blue Bell, PA, 19422-2211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164952982
Provider Name
Maxi Alexis Rudolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
1777 Sentry Pkwy W Ste 300, Blue Bell, PA, 19422-2211
Phone Number
215-767-7096
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YP2500X 01 PA COUNSELOR PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
1777 Sentry Pkwy W Ste 300
City
Blue Bell
State
Pennsylvania
Zip
19422-2211
Phone Number
215-767-7096
Fax Number
person
Provider Business Mailing Address Details
Address
1777 Sentry Pkwy W Ste 300
City
Blue Bell
State
Pennsylvania
Zip
19422-2211
Phone Number
215-767-7096
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Pennsylvania)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Pennsylvania)
Definition
Definition to come...
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