JACOB R RUDICK BA
NPI 1518432145
Counselor - Mental Health in Seattle, WA
Active since October 10, 2018
About Jacob R Rudick Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB R RUDICK BA (NPI 1518432145) is an individual mental health provider in Seattle, Washington and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1518432145
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB R RUDICKCredential: BA
Location Address851 POPLAR PL SSeattle, WA 98144-2827
Mailing Address6627 200th St Sw Apt J16Lynnwood, WA 98036-5956 · (304) 629-6642
Phone(206) 322-2387
Sole ProprietorYes
Enumeration DateOctober 10, 2018
✔ NPI 1518432145 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
851 POPLAR PL S, Seattle, WA 98144
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518432145, enumerated as an "individual" on October 10, 2018.
The provider is located at 851 POPLAR PL S SEATTLE, WA 98144 and the phone number is (206) 322-2387.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
