Rude, Glenn Alfred

Rude, Glenn Alfred is an individual health care provider with primary practice located at 120 W Fir St , Fort Bragg CA 95437-3204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Rude, Glenn Alfred can be contacted via phone (707) 961-2522.

Contact Information

Primary practice address
120 W Fir St Fort Bragg CA 95437-3204
Phone: (707) 961-2522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC40139 California

Profile Details

NPI number 1558577528
LBN Legal business name Rude, Glenn Alfred
Credentials MFC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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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