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MRS. DEBORAH A RUDNINGEN LPC, LADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508207044

Individual Registrant:
MRS. DEBORAH A RUDNINGEN LPC, LADC
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

Contact information for business:
10010 STRAWBERRY LAKE RD  PEQUOT LAKES, MN 56472-2291 US
Tel: 218-833-7636  Fax: 218-543-4394

Registration Information:
NPI: 1508207044
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MN303570
N101YP2500XBehavioral Health & Social Service Providers
Counselor
MN01317
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
MNCC00963

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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