National Provider Identifier

Rachael Ann Dudczak, LICENSED COUNSELOR

Rachael Ann Dudczak, LICENSED COUNSELOR is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lackawanna, NY and a listed phone number of (716) 828-9700.

NPI 1346549490Lackawanna, NYMental Health Counselor

Profile Overview

NPI
1346549490
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
March 15, 2011
Last Updated
March 15, 2011

Practice Location

  • 650 Ridge RD
  • Lackawanna, NY 14218-1435

Phone: (716) 828-9700

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1346549490
Entity Type
Individual
Last Name
Dudczak
First Name
Rachael
Middle Name
Ann
Credential
LICENSED COUNSELOR
Mailing Street Address
650 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1435
Mailing Country
US
Mailing Phone
(716) 828-9700
Practice Street Address
650 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1435
Practice Country
US
Practice Phone
(716) 828-9700
Enumeration Date
March 15, 2011
Last Updated
March 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)