Rudberg, Mary R.
Rudberg, Mary R. is an sole proprietor health care provider with primary practice located at 524 Blind Ln , Belle Vernon PA 15012-1280. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rudberg, Mary R. can be contacted via phone (724) 243-3161.Contact Information
Primary practice address
524 Blind Ln
Belle Vernon PA 15012-1280
Phone: (724) 243-3161
Fax: (724) 243-3161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | PC004450 | Pennsylvania |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PC004450 | Pennsylvania |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PC004450 | Pennsylvania |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC004450 | Pennsylvania |
Profile Details
NPI number | 1366757098 |
---|---|
LBN Legal business name | Rudberg, Mary R. |
Credentials | LPC, CRC, CACD, M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2010 |
Last updated | Aug 18th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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