ANNETTE RUDOLPH-DAVIS CDCA NPI 1902466279

NPI Information

NPI: 1902466279
Provider Name: ANNETTE RUDOLPH-DAVIS, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
19002 FAIRWAY AVE
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 415-4324
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Annette Rudolph-davis, CDCA is an addiction (substance use disorder) counselor in Maple Heights, OH. Annette Rudolph-davis, CDCA NPI is 1902466279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19002 FAIRWAY AVE
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 415-4324

The enumeration date for this NPI number is 6/18/2019 and was last updated on 7/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		S1901100-TRNE	OHIO	No
2	171M00000X	Case Manager/Care Coordinator			OHIO	No
3	251S00000X	Community/Behavioral Health			OHIO	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	181950	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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