Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. REBECCA RUDOLPH, MS CADC LCPC
Active Sole ProprietorMS. REBECCA RUDOLPH, MS CADC LCPC is a Counselor healthcare provider located in DAVIS, Illinois. NPI 1750619318 is currently active in the NPPES registry. Verify at CMS.
Counselor · DAVIS, IL
Registration Details
- NPI Number
- 1750619318
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2009 (16.717115776432 yrs)
- Last Updated
- Mar 25, 2025
- Licenses
-
180.007114 (IL)180.007114 (IL)180.007114 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16255 HARTMAN RDDAVIS, IL, 610199201Browse IL providers · Browse ZIP 61019
- Phone
- 8153540604
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.