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Spencer Taylor Rudominer
Counselor in Fresno, California
NPI 1730723412

Spencer Taylor Rudominer is a Counselor based in Fresno, CA. Spencer Taylor Rudominer practices in Fresno, CA. The NPI Number for Spencer Taylor Rudominer is 1730723412 and holds a License No. (California).

The current practice location address for Spencer Taylor Rudominer is 3433 W Shaw Ave # 107, Fresno, CA and can be reached out via phone at 559-476-2115.

Location: 3433 W Shaw Ave # 107, Fresno, CA, 93711-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730723412
Provider Name
Spencer Taylor Rudominer
Credential
Provider Entity Type
Individual
Gender
Male
Address
3433 W Shaw Ave # 107, Fresno, CA, 93711-3229
Phone Number
559-476-2115
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3433 W Shaw Ave # 107
City
Fresno
State
California
Zip
93711-3229
Phone Number
559-476-2115
Fax Number
person
Provider Business Mailing Address Details
Address
3433 W Shaw Ave # 107
City
Fresno
State
California
Zip
93711-3229
Phone Number
559-476-2115
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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