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MRS. DEBORAH A RUDNINGEN LPC, LADC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1508207044
Individual Registrant:MRS. DEBORAH A RUDNINGEN LPC, LADC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
10010 STRAWBERRY LAKE RD PEQUOT LAKES, MN 56472-2291 US
Tel: 218-833-7636 Fax: 218-543-4394
Tel: 218-833-7636 Fax: 218-543-4394
Contact information for business:
10010 STRAWBERRY LAKE RD PEQUOT LAKES, MN 56472-2291 US
Tel: 218-833-7636 Fax: 218-543-4394
Tel: 218-833-7636 Fax: 218-543-4394
Registration Information:
NPI: 1508207044
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | MN | 303570 |
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor | MN | 01317 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | MN | CC00963 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
