MS. Rebecca Rudolph, MS CADC LCPC

NPI #1750619318 in Davis, Illinois

Provider Information

NPI Number: 1750619318
Entity Type: Individual
Name: MS. Rebecca Rudolph, MS CADC LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MS CADC LCPC
Enumeration Date: Nov 19, 2009
Last Updated: Mar 25, 2025

Practice Location

Address: 16255 HARTMAN RD
City: Davis
State: Illinois
ZIP Code: 61019-9201
Phone: (815) 354-0604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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