| Mr Jack George Rudolph, | |
|
540 College Ave, Medford, WI 54451-2027 | |
| (715) 748-3332 | |
| (715) 748-3342 |
| Full Name | Mr Jack George Rudolph |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 540 College Ave, Medford, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487823308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2651-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack George Rudolph, 540 College Ave, Medford, WI 54451-2027 Ph: (715) 748-3332 | Mr Jack George Rudolph, 540 College Ave, Medford, WI 54451-2027 Ph: (715) 748-3332 |
Mrs. Katie L Maske, CSAC, ICS-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 | |
Ms. Karen Sue Mundt, C-SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 W State St, Medford, WI 54451 Phone: 715-305-8112 | |
Lacey Heinzelman, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: W10649 Perkinstown Ave, Medford, WI 54451 Phone: 855-689-8326 | |
Courtney Henrichs, LPCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 W State St, Medford, WI 54451 Phone: 715-748-4312 Fax: 715-748-4407 | |
Laurie Hoffman, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Ms. Janis Marie Southworth, MA PC-TC Counselor Medicare: Medicare Enrolled Practice Location: 136 W Broadway Ave, Medford, WI 54451 Phone: 715-748-4535 Fax: 715-748-0627 | |
Danielle E Peterson, CSAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 W Broadway Ave, Medford, WI 54451 Phone: 715-748-4312 |