KELLY ANNE RUDOLF

PRESCOTT, AZ
NPI1891441812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: AZ  LPC-23118)
Enumeration Date2022-02-28
Last Update Date2024-06-12
Business Address
KELLY ANNE RUDOLF LPC
115 S MCCORMICK ST
PRESCOTT, AZ 86303-4738
Phone number: 928-756-0662
Mailing Address
KELLY ANNE RUDOLF LPC
5649 N BRONCO LN
PRESCOTT VALLEY, AZ 86314-5856
Phone number: 516-592-7369
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