person
Ellaina Renee Rudolph
Addiction (Substance Use Disorder) Counselor in Highland Park, Michigan
NPI 1730668906

Ellaina Renee Rudolph is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Ellaina Renee Rudolph practices in Highland Park, MI. The NPI Number for Ellaina Renee Rudolph is 1730668906 and holds a License No. (Michigan).

The current practice location address for Ellaina Renee Rudolph is 12501 Hamilton Ave, Highland Park, MI and can be reached out via phone at 313-865-1580.

Location: 12501 Hamilton Ave, Highland Park, MI, 48206-2421
person
Provider Profile Details
NPI Number
1730668906
Provider Name
Ellaina Renee Rudolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
12501 Hamilton Ave, Highland Park, MI, 48206-2421
Phone Number
313-865-1580
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12501 Hamilton Ave
City
State
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
person
Provider Business Mailing Address Details
Address
12501 Hamilton Ave
City
State
Zip
48203-3243
Phone Number
313-865-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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