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Lacy Jane Rude, BS,SAC
Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin
NPI 1467846113

Lacy Jane Rude is an Addiction (Substance Use Disorder) Counselor based in Madison, WI and is specialized in Addiction (Substance Use Disorder). Lacy Jane Rude practices in Madison, WI and has the professional credentials of BS,SAC. The NPI Number for Lacy Jane Rude is 1467846113 and holds a License No. 15963-131 (Wisconsin).

The current practice location address for Lacy Jane Rude is 710 John Nolen Dr, Madison, WI and can be reached out via phone at 608-280-2700.

Location: 710 John Nolen Dr, Madison, WI, 53711-6227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467846113
Provider Name
Lacy Jane Rude
Credential
BS,SAC
Provider Entity Type
Individual
Gender
Female
Address
710 John Nolen Dr, Madison, WI, 53711-6227
Phone Number
608-280-2700
Fax Number
Provider Enumeration Date
03/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 WI
institution
Provider Business Practice Location Address Details
Address
710 John Nolen Dr
City
Madison
State
Wisconsin
Zip
53713-1422
Phone Number
608-280-2700
Fax Number
person
Provider Business Mailing Address Details
Address
710 John Nolen Dr
City
Madison
State
Wisconsin
Zip
53713-1422
Phone Number
608-280-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15963-131 (Wisconsin)
Definition
Definition to come...
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