Provider Demographics
NPI:1376303776
Name:RUDEL, JUDITH (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:RUDEL
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27029 CANYON RANCH CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-2996
Mailing Address - Country:US
Mailing Address - Phone:713-447-8162
Mailing Address - Fax:
Practice Address - Street 1:33300 EGYPT LANE, STE 300
Practice Address - Street 2:SUITE B
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2739
Practice Address - Country:US
Practice Address - Phone:713-909-4207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94697101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health