Provider Demographics
NPI:1639314669
Name:RUDZINSKI, EILEEN M (MPA, BSW, CAC-M)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:M
Last Name:RUDZINSKI
Suffix:
Gender:F
Credentials:MPA, BSW, CAC-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 S RIPLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-3406
Mailing Address - Country:US
Mailing Address - Phone:989-356-6385
Mailing Address - Fax:989-356-4909
Practice Address - Street 1:154 S RIPLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-3406
Practice Address - Country:US
Practice Address - Phone:989-356-6385
Practice Address - Fax:989-356-4909
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)