| Caleb Charles Rudd, MA, LPC | |
|
3124 N Wellness Dr Ste 50, Holland, MI 49424-8121 | |
| (616) 365-5220 | |
| Not Available |
| Full Name | Caleb Charles Rudd |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3124 N Wellness Dr Ste 50, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548927858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401019291 (Michigan) | Primary |
| Entity Name | Advanced Counseling And Therapy Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659720548 PECOS PAC ID: 8921385600 Enrollment ID: O20170505001324 |
| Entity Name | Counseling Center Of West Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Charles Rudd, MA, LPC 3124 N Wellness Dr Ste 50, Holland, MI 49424-8121 Ph: () - | Caleb Charles Rudd, MA, LPC 3124 N Wellness Dr Ste 50, Holland, MI 49424-8121 Ph: (616) 365-5220 |
Ms. Beth E Cherin, MA, LPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 12930 James St, Holland, MI 49424 Phone: 248-613-5377 | |
Brianne Ilyse Roux, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12930 James St Ste 140, Holland, MI 49424 Phone: 616-422-7775 | |
Mrs. Rae Lynn Hooley, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 607 Heritage Ct, Holland, MI 49423 Phone: 616-396-6285 Fax: 616-396-6172 | |
Natalya Busscher, Counselor Medicare: Accepting Medicare Assignments Practice Location: 170 College Ave Ste 310, Holland, MI 49423 Phone: 616-426-9034 | |
Mrs. Elineke Vanderham, MA, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 College Ave Ste 310, Holland, MI 49423 Phone: 616-426-9034 | |
Ryan Pratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2450 Van Ommen Dr Ste C, Holland, MI 49424 Phone: 616-350-7781 | |
Lori Gayle Wenglikowski, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 412 Century Ln, Holland, MI 49423 Phone: 616-396-2301 Fax: 616-396-8070 |