Izandra Patrice Rudolph-Heard
Counselor, Mental Health in Montgomery, AL. Individual provider (NPI-1).
NPI number1982306940
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1982306940
- Entity type
- Individual (NPI-1)
- Name
- Izandra Patrice Rudolph-Heard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4419 | AL | Yes |
Practice location
2911 Zelda RdMontgomery, AL 36106-2648
Phone 334-262-7787 · Fax 334-262-7795
Mailing address
2911 Zelda RdMontgomery, AL 36106-2648
Phone 334-262-7787 · Fax 334-262-7795
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All 159 Mental Health Counselor providers in Montgomery · All 5,237 providers in Montgomery
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