Jessica Rudolphi in Pontiac - Mental Health
Jessica Rudolphi - NPI 1265582225
Jessica Rudolphi is a Mental Health in Pontiac, Illinois. Jessica Rudolphi practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jessica Rudolphi is 1265582225. The last update date is 2007-07-08.
Jessica Rudolphi's current location address is 310 E Torrance Ave, Pontiac, Illinois. You can contact this provider via phone number 8158446109 and fax number 8158443561. The mailing address for Jessica Rudolphi is 310 E Torrance Ave, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Rudolphi |
|---|---|
| Address | 310 E Torrance Ave, Pontiac, Illinois |
| Phone Number | 8158446109 |
| Fax Number | 8158443561 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1265582225 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 E Torrance Ave |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 617642748 |
| Phone Number | 8158446109 |
| Fax Number | 8158443561 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code issued to Jessica Rudolphi by the Centers for Medicare & Medicaid Services?
The Jessica Rudolphi has been assigned the NPI (National Provider Identifier) 1265582225 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jessica Rudolphi?
The Jessica Rudolphi is situated at 310 E Torrance Ave, in the city of Pontiac, state of IL, with the zip code 617642748.
What is Jessica Rudolphi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica Rudolphi's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265582225 to Jessica Rudolphi?
The Centers for Medicare & Medicaid Services originally issued the 1265582225 to Jessica Rudolphi on 2007-01-11.
As of what date were the details pertaining to Jessica Rudolphi last refreshed?
The information related to the Jessica Rudolphi, including its address, specialty, and other relevant details, was last updated on 2007-07-08.