NPI
Kelly Anne Rudolf
NPI 1891441812
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- LPC
- Type
- Individual
- Enumeration date
- 2022-02-28
- Last updated
- 2026-10-18
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Specialties
Licenses
- License AZ
- LPC-23118
Location
- Practice location
- 115 S McCormick St
- City
- Prescott AZ
- Postal code
- 86303-4738
- Phone
- (928) 756-0662
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Mental Health Counselors in Prescott, AZ. 46 with this primary taxonomy in the public file.
Other NPIs in Prescott, AZ. 2,568 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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