person
Mrs. Mary Rudolph
Mental Health Counselor in Erie, Pennsylvania
NPI 1174910855

Mary Rudolph is a Mental Health Counselor based in Erie, PA and is specialized in Mental Health. Mary Rudolph practices in Erie, PA. The NPI Number for Mary Rudolph is 1174910855 and holds a License No. CW019986 (Pennsylvania).

The current practice location address for Mary Rudolph is 4190 E Lake Rd, Erie, PA and can be reached out via phone at 814-616-2858 and via fax at 814-616-2860. You can also correspond with Mary Rudolph through the mailing address at 4190 E LAKE RD, ERIE, PA - 16511-1355 (mailing address contact number: 814-616-2858).

Location: 4190 E Lake Rd, Erie, PA, 16511-1355
person
Provider Profile Details
NPI Number
1174910855
Provider Name
Mary Rudolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
4190 E Lake Rd, Erie, PA, 16511-1355
Phone Number
814-616-2858
Fax Number
814-616-2860
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4190 E Lake Rd
City
State
Zip
16511
Phone Number
814-616-2858
Fax Number
814-616-2860
person
Provider Business Mailing Address Details
Address
4190 E Lake Rd
City
State
Zip
16511
Phone Number
814-616-2858
Fax Number
814-616-2860
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CW019986 ()
Definition
Definition to come...
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