person
Destree Lynn Rudolph, MS,CRC
Mental Health Counselor in Dallas, Oregon
NPI 1851878797

Destree Lynn Rudolph is a Mental Health Counselor based in Dallas, OR and is specialized in Mental Health. Destree Lynn Rudolph practices in Dallas, OR and has the professional credentials of MS,CRC. The NPI Number for Destree Lynn Rudolph is 1851878797 and holds a License No. (Oregon).

The current practice location address for Destree Lynn Rudolph is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289 and via fax at 503-831-1726.

Location: 182 Sw Academy St, Dallas, OR, 97338-1996
person
Provider Profile Details
NPI Number
1851878797
Provider Name
Destree Lynn Rudolph
Credential
MS,CRC
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1996
Phone Number
503-623-9289
Fax Number
503-831-1726
Provider Enumeration Date
07/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
503-831-1726
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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