Destree Lynn Rudolph, MS, CRC

NPI #1851878797 in Dallas, Oregon

Provider Information

NPI Number: 1851878797
Entity Type: Individual
Name: Destree Lynn Rudolph, MS, CRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS, CRC
Enumeration Date: Jul 24, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 182 SW ACADEMY ST
City: Dallas
State: Oregon
ZIP Code: 97338-1996
Phone: (503) 623-9289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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