DESTREE LYNN RUDOLPH

DALLAS, OR
NPI1851878797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
DESTREE LYNN RUDOLPH MS, CRC
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Mailing Address
DESTREE LYNN RUDOLPH MS, CRC
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289