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NPI Code Detail

MEDICARE: ANTHONY J RUDLOSKY LPCC

MEDICARE: ANTHONY J RUDLOSKY LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.0700358OH
2101Y00000XCounselor

General Provider Information

NPI Number : 1912191297
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY J RUDLOSKY LPCC
Provider Business Mailing Address
First Line : 1621 MEDINA RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-5333
Country : US
Telephone Number : 330-241-4444
Fax Number :
Provider Business Practice Location Address
First Line : 1621 MEDINA RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-5333
Country : US
Telephone Number : 330-241-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 01/14/2025

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Directions to “ ANTHONY J RUDLOSKY LPCC” Practice Location

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