Mr. Jack George Rudolph - Medford, WI

Mr. Jack George Rudolph

Counselor in Medford, Wisconsin

NPI 1487823308

Jack George Rudolph is a Counselor based in Medford, WI. Jack George Rudolph practices in Medford, WI. The NPI Number for Jack George Rudolph is 1487823308 and holds a License No. 2651-125 (Wisconsin).

The current practice location address for Jack George Rudolph is 540 College Ave, Medford, WI and can be reached out via phone at 715-748-3332 and via fax at 715-748-3342.

Location: 540 College Ave, Medford, WI, 54451-2027

NPI Number

1487823308

Provider Name

Jack George Rudolph

Credential

Provider Entity Type

Individual

Gender

Male

Address

540 College Ave, Medford, WI, 54451-2027

Phone Number

715-748-3332

Fax Number

715-748-3342

Provider Enumeration Date

02/25/2008

Last Update Date

03/09/2024

Address

540 College Ave

City

Medford

State

Wisconsin

Zip

54451-2027

Phone Number

715-748-3332

Fax Number

715-748-3342

Address

540 College Ave

City

Medford

State

Wisconsin

Zip

54451-2027

Phone Number

715-748-3332

Fax Number

715-748-3342

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

2651-125 (Wisconsin)

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.

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