Provider Demographics
NPI:1255405486
Name:RUDNER, RHONDA LEE (LMHC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LEE
Last Name:RUDNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 SAINT BOTOLPH ST
Mailing Address - Street 2:#31
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5221
Mailing Address - Country:US
Mailing Address - Phone:617-401-1584
Mailing Address - Fax:617-267-8566
Practice Address - Street 1:264 BEACON ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1236
Practice Address - Country:US
Practice Address - Phone:617-401-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3763101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor