RUDOLPH HAGWOOD JR.
NPI 1023852530
Counselor - Professional in Bridgeport, CT

Active since June 20, 2024
1635 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 335-3518(203) 382-5589 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Professional

About RUDOLPH HAGWOOD

This page provides the complete NPI Profile along with additional information for Rudolph Hagwood, a provider established in Bridgeport, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1023852530 assigned on June 2024. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1023852530 Verify this NPI
Provider Name
RUDOLPH HAGWOOD JR.
Gender
Male
Entity Type
Individual
Location Address
1635 FAIRFIELD AVE BRIDGEPORT, CT 06605
Location Phone
(203) 335-3518
Location Fax
(203) 382-5589
Mailing Address
115 LONG HILL TER NEW HAVEN, CT 06515
Mailing Phone
(203) 435-2648
Is Sole Proprietor?
No
Enumeration Date
06-20-2024
Last Update Date
06-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
1635 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Mental Health)
1635 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Counselor (Mental Health)
1635 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Social Worker (Clinical)
1635 FAIRFIELD AVE
BRIDGEPORT, CT 06605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023852530, enumerated as an "individual" on June 20, 2024.

The provider is located at 1635 FAIRFIELD AVE BRIDGEPORT, CT 06605 and the phone number is (203) 335-3518.

Counselor with taxonomy code 101YP2500X and a focus in Professional.