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General NPI Number Information
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NPI Number | 1861300477
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Entity Type | Organization
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Legal Business Name | RUDOLF H PETRINI LCMHC PLLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4058 GUNSMITH CT
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City | JAMESTOWN
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State | NC
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Zip | 27282-7787
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Country | US
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Telephone | 336-337-5679
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Fax |
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Provider Business Mailing Address
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Address Line | 4058 GUNSMITH CT
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City | JAMESTOWN
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State | NC
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Zip | 27282-7787
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Country | US
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Telephone | 336-337-5679
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. RUDOLF HARALD PETRINI
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Credential | LCMHC
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Telephone | 336-337-5679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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