person
Patricia Ann Rudolf, RADT
Addiction (Substance Use Disorder) Counselor in Loma Linda, California
NPI 1518552504

Patricia Ann Rudolf is an Addiction (Substance Use Disorder) Counselor based in Loma Linda, CA and is specialized in Addiction (Substance Use Disorder). Patricia Ann Rudolf practices in Loma Linda, CA and has the professional credentials of RADT. The NPI Number for Patricia Ann Rudolf is 1518552504 and holds a License No. (California).

The current practice location address for Patricia Ann Rudolf is 25590 Prospect Ave Apt 32C, Loma Linda, CA and can be reached out via phone at 626-848-9161 and via fax at 909-987-6543.

Location: 25590 Prospect Ave Apt 32C, Loma Linda, CA, 92354-3151
person
Provider Profile Details
NPI Number
1518552504
Provider Name
Patricia Ann Rudolf
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
25590 Prospect Ave Apt 32C, Loma Linda, CA, 92354-3151
Phone Number
626-848-9161
Fax Number
909-987-6543
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
R1318560818 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
25590 Prospect Ave Apt 32C
City
State
Zip
92354-3151
Phone Number
626-848-9161
Fax Number
909-987-6543
person
Provider Business Mailing Address Details
Address
25590 Prospect Ave Apt 32C
City
State
Zip
92354-3151
Phone Number
626-848-9161
Fax Number
909-987-6543
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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